A complicated fever
Fever of unknown origin is a common problem in medical practice and assemble a broad spectrum of diagnostic possibilities. We report a case of a 24-year-old woman with high-spiking fever. A diagnosis of adult-onset Still’s disease (AOSD) was made. This is a rare inflammatory disease with an unknown...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SEEd
2007-03-01
|
| Series: | Clinical Management Issues |
| Subjects: | |
| Online Access: | https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/616 |
| _version_ | 1819077622338945024 |
|---|---|
| author | Paolo Ghiringhelli Mariagrazia Aspesi |
| author_facet | Paolo Ghiringhelli Mariagrazia Aspesi |
| author_sort | Paolo Ghiringhelli |
| collection | DOAJ |
| description | Fever of unknown origin is a common problem in medical practice and assemble a broad spectrum of diagnostic possibilities. We report a case of a 24-year-old woman with high-spiking fever. A diagnosis of adult-onset Still’s disease (AOSD) was made. This is a rare inflammatory disease with an unknown aetiology. The diagnosis of adult-onset Still’s disease can be very difficult. There are no specific tests and reliance is usually placed on a symptom complex and the well described typical rash seen in most patients. Thus, the diagnosis is made by exclusion and with the help of diagnostic criteria. The treatment of this disease has to limit the intensity of the symptoms, and this is usually obtained with NSAIDs (NonSteroidal Anti-Inflammatory Drugs), and to control the disease evolution, through the use of corticosteroid, methotrexate or ciclosphorine A. In the case here described treatment with corticosteroid met with a good response. |
| first_indexed | 2024-12-21T19:00:07Z |
| format | Article |
| id | doaj.art-f2be92e14dbd4f878b8a90ee2a33e23c |
| institution | Directory Open Access Journal |
| issn | 1973-4832 2283-3137 |
| language | English |
| last_indexed | 2024-12-21T19:00:07Z |
| publishDate | 2007-03-01 |
| publisher | SEEd |
| record_format | Article |
| series | Clinical Management Issues |
| spelling | doaj.art-f2be92e14dbd4f878b8a90ee2a33e23c2022-12-21T18:53:30ZengSEEdClinical Management Issues1973-48322283-31372007-03-0111313710.7175/cmi.v1i1.616580A complicated feverPaolo Ghiringhelli0Mariagrazia Aspesi1Unità Operativa Complessa di Medicina Interna, Azienda Ospedaliera “Ospedale di Circolo di Busto Arsizio”, Presidio di Tradate (VA)Unità Operativa Complessa di Medicina Interna, Azienda Ospedaliera “Ospedale di Circolo di Busto Arsizio”, Presidio di Tradate (VA)Fever of unknown origin is a common problem in medical practice and assemble a broad spectrum of diagnostic possibilities. We report a case of a 24-year-old woman with high-spiking fever. A diagnosis of adult-onset Still’s disease (AOSD) was made. This is a rare inflammatory disease with an unknown aetiology. The diagnosis of adult-onset Still’s disease can be very difficult. There are no specific tests and reliance is usually placed on a symptom complex and the well described typical rash seen in most patients. Thus, the diagnosis is made by exclusion and with the help of diagnostic criteria. The treatment of this disease has to limit the intensity of the symptoms, and this is usually obtained with NSAIDs (NonSteroidal Anti-Inflammatory Drugs), and to control the disease evolution, through the use of corticosteroid, methotrexate or ciclosphorine A. In the case here described treatment with corticosteroid met with a good response.https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/616Adult-onset Still’s disease (AOSD)Inflammatory diseaseFever of unknown origin |
| spellingShingle | Paolo Ghiringhelli Mariagrazia Aspesi A complicated fever Clinical Management Issues Adult-onset Still’s disease (AOSD) Inflammatory disease Fever of unknown origin |
| title | A complicated fever |
| title_full | A complicated fever |
| title_fullStr | A complicated fever |
| title_full_unstemmed | A complicated fever |
| title_short | A complicated fever |
| title_sort | complicated fever |
| topic | Adult-onset Still’s disease (AOSD) Inflammatory disease Fever of unknown origin |
| url | https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/616 |
| work_keys_str_mv | AT paologhiringhelli acomplicatedfever AT mariagraziaaspesi acomplicatedfever AT paologhiringhelli complicatedfever AT mariagraziaaspesi complicatedfever |