[Adult-onset Still's disease--case report].
We report diagnostic difficulties in the patient with fever of unknown origin. The patient was diagnosed with adult-onset Still's disease, which is a rare seronegative arthritis. Thirty seven year old patient was admitted to the hospital because of symptoms lasting for 6 weeks: fever, evanescent skin rash, arthritis and sore throat with the suspicion of fever of unknown origin. After exclusion the infectious aetiology, Still's adult-onset disease was recognised based on clinical picture, biochemical, serological and radiography, sonography results and after reumatological consultation. Treatment with nonsteroidal anti-inflammatory drugs was introduced with good clinical effect.


CONCLUSIONS
Diagnosis of fever of unknown origin is great challenge for doctors and requires realising careful anamnesis, performing overstandard examinations and good co-operation with consultants of other specialities.
Katedry i Kliniki Chorób Zakaźnych, Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu.
Beata
B
Bolewska
Anna
A
Wojtacha
Mariusz
M
Puszczewicz
Jacek
J
Juszczyk
D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal; D001168:Arthritis / Q000188:drug therapy; D003937:Diagnosis, Differential; D005334:Fever; D006801:Humans; D016706:Still's Disease, Adult-Onset
D000894:Anti-Inflammatory Agents, Non-Steroidal