Open AccessCardiac Tamponade: A Life Threatening Complication of Adult still’s Disease: Case Report and Review of Literature
Author(s) -
W. Belkho,
L. Rachid,
M.El Jamili,
M. El Hattaoui
Publication year - 2022
Publication title -
sas journal of medicine
Language(s) - English
Resource type - Journals
ISSN - 2454-5112
DOI - 10.36347/sasjm.2022.v08i03.005
Subject(s) - medicine , cardiac tamponade , pericardial effusion , complication , etiology , rash , pericarditis , differential diagnosis , tamponade , disease , surgery , pericardial window , pericardiectomy , intensive care medicine , pathology
Adult onset Still’s disease is a systemic inflammatory disorder of unknown etiology characterized by the association of a high spiking fever, an evanescent skin rash, arthritis, and hyperleukocytosis. It is a rare disorder with potentially severe clinical features, including cardiac involvement. This systemic inflammatory disease of unknown origin should be considered in the differential diagnosis of pericarditis, with or without pericardial effusion. Cardiac tamponade is very rare sequelae that require an invasive approach, such as percutaneous or surgical pericardial drainage, in addition to the usual conservative therapy. We describe a case of a cardiac tamponade complicating Still’s disease in a 27 year-old male, with a brief review of literature on this entity. This case reminds physicians to not neglect the potential of severe systemic inflammation to lead to fatal complications in this group of patients.