A young woman with fever and a pericardial effusion.
A 19-year-old woman is presented with high-spiking fever, pericardial tamponade and respiratory failure. A diagnosis of adult onset Still's disease was made. This is a rare inflammatory disease with an unknown aetiology. The diagnosis is made by exclusion and with the help of diagnostic criteria. Treatment with corticosteroids met with a good response.
Muntinghe
F L H
FL
Department of Internal Medicine, Medical Centre Leeuwarden, PO Box 888, 8901 BR Leeuwarden, the Netherlands. F.Muntinghe@znb.nl
de Filippi
J P
JP
Breedveld
R W
RW
Halma
C
C
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000188:drug therapy; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000188:drug therapy; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis / Q000188:drug therapy
D000305:Adrenal Cortex Hormones