Adult-onset Still′s disease masquerading as sepsis

This is a case of a 30-year-old female who presented with a recent 4-week history of fever with an underlying chronic illness for the last 6 years for which she got evaluated multiple times and received long treatments but did not get relieved. This time, she presented with high-grade fever and palp...

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Main Authors: Rupesh Gupta, Praveen Tagore, Ritika Dhurwe, Jyotsna Kubre, Vaibhav Ingle, Saurabh Saigal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Allergy Asthma and Immunology
Subjects:
Online Access:http://www.ijaai.in/article.asp?issn=0972-6691;year=2016;volume=30;issue=1;spage=45;epage=48;aulast=Gupta
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author Rupesh Gupta
Praveen Tagore
Ritika Dhurwe
Jyotsna Kubre
Vaibhav Ingle
Saurabh Saigal
author_facet Rupesh Gupta
Praveen Tagore
Ritika Dhurwe
Jyotsna Kubre
Vaibhav Ingle
Saurabh Saigal
author_sort Rupesh Gupta
collection DOAJ
description This is a case of a 30-year-old female who presented with a recent 4-week history of fever with an underlying chronic illness for the last 6 years for which she got evaluated multiple times and received long treatments but did not get relieved. This time, she presented with high-grade fever and palpitation. Electrocardiogram was suggestive of supraventricular tachycardia which was immediately reverted with intravenous adenosine. She was transferred to the Intensive Care Unit for suspected sepsis. However, after a thorough diagnostic microbiologic, serologic, and immunologic workup, she was diagnosed with adult-onset Still′s disease (AOSD) and was managed with steroids and responded well to treatment. AOSD is a rare condition which could present with a variety of clinical features resembling sepsis.
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spelling doaj.art-4359090dbd734ee9bf3af1527ab633152022-12-22T01:06:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Allergy Asthma and Immunology0972-66912016-01-01301454810.4103/0972-6691.187570Adult-onset Still′s disease masquerading as sepsisRupesh GuptaPraveen TagoreRitika DhurweJyotsna KubreVaibhav IngleSaurabh SaigalThis is a case of a 30-year-old female who presented with a recent 4-week history of fever with an underlying chronic illness for the last 6 years for which she got evaluated multiple times and received long treatments but did not get relieved. This time, she presented with high-grade fever and palpitation. Electrocardiogram was suggestive of supraventricular tachycardia which was immediately reverted with intravenous adenosine. She was transferred to the Intensive Care Unit for suspected sepsis. However, after a thorough diagnostic microbiologic, serologic, and immunologic workup, she was diagnosed with adult-onset Still′s disease (AOSD) and was managed with steroids and responded well to treatment. AOSD is a rare condition which could present with a variety of clinical features resembling sepsis.http://www.ijaai.in/article.asp?issn=0972-6691;year=2016;volume=30;issue=1;spage=45;epage=48;aulast=GuptaAdult-onset Still diseasehyperferritinemiasepsissupraventricular tachycardia
spellingShingle Rupesh Gupta
Praveen Tagore
Ritika Dhurwe
Jyotsna Kubre
Vaibhav Ingle
Saurabh Saigal
Adult-onset Still′s disease masquerading as sepsis
Indian Journal of Allergy Asthma and Immunology
Adult-onset Still disease
hyperferritinemia
sepsis
supraventricular tachycardia
title Adult-onset Still′s disease masquerading as sepsis
title_full Adult-onset Still′s disease masquerading as sepsis
title_fullStr Adult-onset Still′s disease masquerading as sepsis
title_full_unstemmed Adult-onset Still′s disease masquerading as sepsis
title_short Adult-onset Still′s disease masquerading as sepsis
title_sort adult onset still s disease masquerading as sepsis
topic Adult-onset Still disease
hyperferritinemia
sepsis
supraventricular tachycardia
url http://www.ijaai.in/article.asp?issn=0972-6691;year=2016;volume=30;issue=1;spage=45;epage=48;aulast=Gupta
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AT jyotsnakubre adultonsetstillsdiseasemasqueradingassepsis
AT vaibhavingle adultonsetstillsdiseasemasqueradingassepsis
AT saurabhsaigal adultonsetstillsdiseasemasqueradingassepsis