A Cause of Fever of Unknown Origin: A Case of Adult Onset Still’s Disease

• Main Authors: Gül Ruhsar YILMAZ, Cemal BULUT, Dicle YILMAZ KAYMAZ, Selcan ARSLAN, Gülay KINIKLI, Sami KINIKLI, Hasan IRMAK, Ali Pekcan DEMİRÖZ
• Format: Article
• Language: English
• Published: Bilimsel Tip Yayinevi 2007-03-01
• Series: Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
• Subjects: Fever of unkown origin; Adult Still’s disease
• Online Access: http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2007-12-1-058-061.pdf

Adult onset Still’s disease is rare syndrome consisting of recurrent fever, rash, artralgia or arthritis. A sixty-five years old female was admitted to the hospital for high fever with one month duration, accompanied with fatique and lack of appetite. Findings of physical examination, laboratory test results and radioghraphic evaluations were negative for infectious diseases, malignancy and immunological disorders. The diagnosis of Still’s disease was made on the clinical findings and exclusion of other possible diseases. High serum ferritin value was a key factor in making the diagnosis. The patients with Still’s disease can apply to the infectious diseases department because of the fever of unknown origin (FUO) and this disorder can be the cause of FUO in the elderly as well as in the younger population.