Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report

Adult-onset Still’s disease (AOSD) is a rare auto-inflammatory disease of unknown origin characterized mainly by fever, arthritis, and a rash. Aseptic meningitis is a rare complication of AOSD and is seen most commonly in young adults. Here, we report a case of AOSD in a 78-year female with fever an...

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Autores principales: Risal, Ujjwol, Dhungana, Krishna, Ghimire, Mrikchhya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460291/
https://www.ncbi.nlm.nih.gov/pubmed/37641791
http://dx.doi.org/10.1177/11795441231195636
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author Risal, Ujjwol
Dhungana, Krishna
Ghimire, Mrikchhya
author_facet Risal, Ujjwol
Dhungana, Krishna
Ghimire, Mrikchhya
author_sort Risal, Ujjwol
collection PubMed
description Adult-onset Still’s disease (AOSD) is a rare auto-inflammatory disease of unknown origin characterized mainly by fever, arthritis, and a rash. Aseptic meningitis is a rare complication of AOSD and is seen most commonly in young adults. Here, we report a case of AOSD in a 78-year female with fever and altered sensorium with lymphocyte predominant pleocytosis in the cerebrospinal fluid who was initially managed as tubercular meningitis. Adult-onset Still’s disease was diagnosed as there was no response to antitubercular drugs even after 3 months and based on persistent fever, inflammatory arthritis, rash, and highly raised inflammatory markers.
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spelling pubmed-104602912023-08-28 Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report Risal, Ujjwol Dhungana, Krishna Ghimire, Mrikchhya Clin Med Insights Arthritis Musculoskelet Disord Case Report Adult-onset Still’s disease (AOSD) is a rare auto-inflammatory disease of unknown origin characterized mainly by fever, arthritis, and a rash. Aseptic meningitis is a rare complication of AOSD and is seen most commonly in young adults. Here, we report a case of AOSD in a 78-year female with fever and altered sensorium with lymphocyte predominant pleocytosis in the cerebrospinal fluid who was initially managed as tubercular meningitis. Adult-onset Still’s disease was diagnosed as there was no response to antitubercular drugs even after 3 months and based on persistent fever, inflammatory arthritis, rash, and highly raised inflammatory markers. SAGE Publications 2023-08-24 /pmc/articles/PMC10460291/ /pubmed/37641791 http://dx.doi.org/10.1177/11795441231195636 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Risal, Ujjwol
Dhungana, Krishna
Ghimire, Mrikchhya
Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report
title Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report
title_full Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report
title_fullStr Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report
title_full_unstemmed Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report
title_short Adult-Onset Still’s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report
title_sort adult-onset still’s disease in an elderly patient presenting as aseptic meningitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460291/
https://www.ncbi.nlm.nih.gov/pubmed/37641791
http://dx.doi.org/10.1177/11795441231195636
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