Open AccessSevere adult-onset still\'s disease mimicking systemic infection
Author(s) -
Rajani Gubbala,
Ganshyam Jagathkar,
Nagalakshmikanth Reddy Mayaluri,
K. P. Raghavendra
Publication year - 2018
Publication title -
indian journal of critical care medicine/indian journal of critical care medicine
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 30
eISSN - 1998-359X
pISSN - 0972-5229
DOI - 10.4103/ijccm.ijccm_208_18
Subject(s) - medicine , sore throat , tachypnea , adult onset still's disease , rash , procalcitonin , abdominal pain , white blood cell , myalgia , joint pain , leukocytosis , tachycardia , disease , sepsis , surgery
Adult-onset Still's disease (AOSD) is an uncommon entity that can mimic infection. Patients present with fever for more than 1-week, joint pain, and rash. We report a case of 22-year-old male who presented with fever, sore throat, and abdominal pain. During hospitalization, he had multiple episodes of tachycardia and tachypnea requiring mechanical ventilation. The patient had elevated white blood cell count, procalcitonin, and troponin. He was extensively investigated and diagnosed as AOSD. He responded to steroids and was discharged on day 20.