Adult-onset Still's disease revealed by a complete atrioventricular block, totally regressive under corticosteroid therapy.
Adult-onset Still’s disease
Atrioventricular block
Myocarditis
Spiking fever
Steroid
Journal
Journal of cardiology cases
ISSN: 1878-5409
Titre abrégé: J Cardiol Cases
Pays: Japan
ID NLM: 101549579
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
11
09
2019
revised:
02
11
2019
accepted:
05
11
2019
entrez:
11
3
2020
pubmed:
11
3
2020
medline:
11
3
2020
Statut:
epublish
Résumé
We report the case of a 40-year-old veterinary surgeon who was admitted for spiking fevers, arthralgia, and a complete atrioventricular block. Tests revealed an inflammatory syndrome, hepatic cytolysis, neutrophilic leukocytosis, and increased troponin levels. Cardiac magnetic resonance imaging showed a small myocarditis but no tissue abnormality on the conduction pathways. In the absence of evidence-based infection and favorable evolution under broad spectrum antibiotherapy, an adult-onset Still's disease was suspected and corticosteroid therapy administered. Evolution was then impressively favorable, with a persistent sinus heart rhythm 3 days later.
Identifiants
pubmed: 32153686
doi: 10.1016/j.jccase.2019.11.004
pii: S1878-5409(19)30113-6
pmc: PMC7054654
doi:
Types de publication
Case Reports
Langues
eng
Pagination
110-113Informations de copyright
© 2019 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
Références
Rheumatology (Oxford). 2007 Jun;46(6):1043-4
pubmed: 17449487
Rheumatol Int. 2009 Sep;29(11):1355-7
pubmed: 19048255
Crit Care. 2018 Apr 11;22(1):88
pubmed: 29642928
Medicine (Baltimore). 2014 Oct;93(17):280-9
pubmed: 25398063
Mod Rheumatol. 2015 Mar;25(2):332-3
pubmed: 24533542