Neutrophilic pleocytosis in cerebrospinal fluid: adult-onset Still's disease.
We describe a unique patient whose clinical and laboratory findings fulfill diagnostic criteria of adult onset Still's disease and at the same time, this case was complicated by aseptic meningitis with neutrophilic pleocytosis in cerebrospinal fluid, as well as sensorineural hearing loss. The symptoms of the patient improved greatly with prednisolone therapy. Some studies in the literature suggest that this disease may lead to aseptic meningitis with neutrophilic pleocytosis.
Tabak
Fehmi
F
Department of Infectious Diseases and Clinical Microbiology Division of Rheumatology, Cerrahpasa Medical Faculty, University of Istanbul, Istanbul, Turkey.
Tanverdi
Melike
M
Ozaras
Resat
R
Mert
Ali
A
Tartan
Zeynep
Z
Ozturk
Recep
R
Aktuglu
Yildirim
Y
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002555:Cerebrospinal Fluid / Q000276:immunology*; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000150:complications / Q000188:drug therapy; D006801:Humans; D007964:Leukocytosis / Q000276:immunology; D008582:Meningitis, Aseptic / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D009504:Neutrophils / Q000276:immunology; D011239:Prednisolone / Q000627:therapeutic use; D016706:Still's Disease, Adult-Onset / Q000150:complications* / Q000188:drug therapy / Q000276:immunology*; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D011239:Prednisolone