ABSTRACT
Adult-onset-still's disease is systemic inflammatory disorder of unknown origin, several reports have suggested a triggering infection in Adult-onset-still's disease, we describe a case of uncommon presentation of ASD associated with cytomegalovirus infection. A 25 year-old male was admitted to our hospital complaining of high fever. The physical examination showed Right basal crepitation, with pericardial rub. Although several antibiotics were administered, the spiking high fever was not alleviated. Two weeks after admission a macular rash appeared, and a high concentration of serum ferritin was observed. At this point, Still's disease was suspected. During the prescribed course of prednisolone, hepatic enzymes gradually increased accompanied by a positive test for cytomegalovirus [CMV] antigen. The symptoms disappeared after administration of gancyclovir and steroid. In this report, we attempt to portray the relation between the pathogenesis of adult-onset Still's disease and the presence of CMV antigen
ABSTRACT
We investigated the incidence of hepatitis B [HBV] and C [HCV] virus infection among patients with liver disease in Qatar from 2000 to 2005. The grading and staging of HBV and HCV cases were obtained from pathology reports at the principal reference laboratory for Qatar. Of the 915 liver patients studied, 29.4% had HCV and 2.5% had HBV. The incidence of HBV and HCV infection was greater in non-Qataris than Qatari nationals and in males than females, especially for HCV. Most cases were uncomplicated [89.0%] and had no inflammation [76.4%]. The incidence of HCV has been increasing in liver patients in recent years up to a rate of 481 per 1000 patients with liver disease in 2005