A Case of Musculoskeletal Tuberculosis Mimicking Adult-Onset Still's Disease / 대한내과학회지
Korean Journal of Medicine
; : 785-790, 2014.
Article
in Ko
| WPRIM
| ID: wpr-85482
Responsible library:
WPRO
ABSTRACT
A 46-year-old man was admitted to our hospital because of a fever of unknown origin. The patient had a skin rash, arthralgia, and hepatosplenomegaly. Laboratory tests showed leukemoid leukocytosis, a high serum ferritin level (31,200 ng/mL), and abnormal liver function tests. He was initially diagnosed with adult-onset Still's disease (AOSD). However, imaging studies incidentally detected a cold abscess involving the 11th thoracic vertebra. A biopsy of the abscess revealed histologically granulomatous caseous necrosis, positive for M. tuberculosis by polymerase chain reaction. We present a patient with musculoskeletal tuberculosis (TB) that clinically mimicked AOSD. In TB-endemic countries, extrapulmonary TB should be included in the differential diagnosis of AOSD.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Spine
/
Tuberculosis
/
Biopsy
/
Polymerase Chain Reaction
/
Still's Disease, Adult-Onset
/
Arthralgia
/
Diagnosis, Differential
/
Abscess
/
Exanthema
/
Ferritins
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
Ko
Journal:
Korean Journal of Medicine
Year:
2014
Type:
Article