酷似全身感染的重症成人斯蒂尔病
Severe Adult-Onset Still's Disease Mimicking Systemic Infection.
作者信息
Gubbala Rajani, Jagathkar Ganshyam, Mayaluri Nagalakshmikanth Reddy, Raghavendra K P
机构信息
Department of Critical Care, MaxCure Hospitals, Hyderabad, Telangana, India.
出版信息
Indian J Crit Care Med. 2018 Aug;22(8):616-618. doi: 10.4103/ijccm.IJCCM_208_18.
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.
成人斯蒂尔病（AOSD）是一种罕见的疾病，可类似感染。患者表现为发热超过1周、关节疼痛和皮疹。我们报告一例22岁男性患者，其表现为发热、咽痛和腹痛。住院期间，他多次出现心动过速和呼吸急促，需要机械通气。该患者白细胞计数、降钙素原和肌钙蛋白升高。他接受了广泛检查，被诊断为AOSD。他对类固醇治疗有反应，于第20天出院。
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