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CASE REPORT
Year : 2016  |  Volume : 30  |  Issue : 1  |  Page : 45-48

Adult-onset Still's disease masquerading as sepsis


Department of General Medicine and Critical Care Medicine, AIIMS, Bhopal, Madhya Pradesh, India

Correspondence Address:
Rupesh Gupta
Department of General Medicine, AIIMS, Saket Nagar, Bhopal, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-6691.187570

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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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