Adult-onset Still's disease presenting with aseptic meningitis as the first symptom in an elderly patient.
Adult-onset Still's disease, Aseptic meningitis, Neutrophilic pleocytosis
procalcitonin, hyperferritinemia, steroid therapy.
Journal
eNeurologicalSci
ISSN: 2405-6502
Titre abrégé: eNeurologicalSci
Pays: Netherlands
ID NLM: 101667077
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
24
04
2019
revised:
05
07
2019
accepted:
11
08
2019
entrez:
6
9
2019
pubmed:
6
9
2019
medline:
6
9
2019
Statut:
epublish
Résumé
•Neutrophilic meningitis is rarely observed in Adult onset Still's disease (AOSD).•AOSD-related meningitis has been observed in the AOSD course of young adults.•An elderly man showed neutrophilic meningitis as a first symptom of AOSD.•First-line therapy with steroid for bacterial meningitis complicated the diagnosis.•Hyperferritinemia led to the correct diagnosis of AOSD and AOSD-related meningitis.
Identifiants
pubmed: 31485491
doi: 10.1016/j.ensci.2019.100202
pii: S2405-6502(19)30026-7
pii: 100202
pmc: PMC6715887
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100202Références
Del Med J. 1999 Apr;71(4):181-4
pubmed: 10363409
Neurology. 2000 Mar 14;54(5):1203-5
pubmed: 10720305
Rheumatology (Oxford). 2002 Feb;41(2):216-22
pubmed: 11886973
J Rheumatol. 1992 Mar;19(3):424-30
pubmed: 1578458
Clin Exp Rheumatol. 2006 Mar-Apr;24(2):123-8
pubmed: 16762145
Indian J Med Sci. 2009 May;63(5):207-21
pubmed: 19584494
Medicine (Baltimore). 1991 Mar;70(2):118-36
pubmed: 2005777
J Rheumatol. 1990 Aug;17(8):1058-63
pubmed: 2213780
J Assoc Physicians India. 2012 Nov;60:59-62
pubmed: 23767207
J Rheumatol. 1993 Apr;20(4):765-7
pubmed: 8496886