Multi-organ failure in adult onset Still's disease: a septic disguise.
The diagnosis of adult onset Still's disease is difficult in the absence of definite clinical and laboratory criteria. A delayed diagnosis of adult onset Still's disease was made in a 23-year-old female who developed multi-organ failure and disseminated intravascular coagulation with fingertip auto-amputation during a febrile illness considered septic due to the persistence of elevated serum procalcitonin concentration.
Departments of Haematology, Rheumatology and Intensive Care, Inverclyde Royal Hospital, Greenock, PA16 0XN, UK. paxmes@aol.com
Paul R J
PR
Ames
Emily
E
Walker
Darren
D
Aw
David
D
Marshall
Francois
F
de Villiers
Manfred
M
Staber
D002116:Calcitonin / Q000097:blood; D015740:Calcitonin Gene-Related Peptide; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D005260:Female; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology*; D011498:Protein Precursors / Q000097:blood; D012772:Shock, Septic / Q000175:diagnosis; D016706:Still's Disease, Adult-Onset / Q000097:blood / Q000150:complications / Q000175:diagnosis*; D055815:Young Adult
C000606589:CALCA protein, human; D011498:Protein Precursors; D002116:Calcitonin; D015740:Calcitonin Gene-Related Peptide