A Case of Adult Onset Still's Disease Misdiagnosed as Septic Arthritis
The Journal of Korean Knee Society
;
: 171-176, 2011.
Article
in English
| WPRIM
| ID: wpr-759018
ABSTRACT
We present a case of adult onset Still's disease (AOSD) that was misdiagnosed as septic arthritis of the shoulder and knee. A forty-nine-year-old woman was admitted for pain in the left knee. The patient's medical history showed that she had undergone arthroscopic irrigation twice and an open debridement under the diagnosis of septic shoulder at another hospital. The laboratory and joint fluid analysis findings led us to suspect septic knee. Arthroscopic irrigation and antibiotics treatment were performed. At five weeks after discharge, she presented with pain in the same joint, fever, and rash. The symptoms were consistent with Yamaguchi's criteria for AOSD. We started corticosteroid therapy, and clinical remission was achieved. In conclusion, we suggest that AOSD should be considered as a diagnosis of exclusion to avoid misdiagnosis with septic arthritis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shoulder
/
Arthritis, Infectious
/
Still's Disease, Adult-Onset
/
Debridement
/
Diagnostic Errors
/
Exanthema
/
Fever
/
Joints
/
Knee
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
The Journal of Korean Knee Society
Year:
2011
Type:
Article
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