title: An adult onset Still's disease mimicking pneumonia.
abstract: Adult onset Still's disease is a rare systemic inflammatory disease of unknown origin. It is common to involve liver and spleen, and less often lungs. A 24-year-old man presenting with spiking fever, pulmonary infiltrations, and pleural effusion on the right side mimicking pneumonia. All serologic tests of infectious causes, antinuclear antibody, and rheumatoid factor were negative. He was diagnosed as Adult onset Still's disease according to the criteria of Yamaguchi. Adult onset Still's disease is considering in the differential diagnosis pneumonia that is unresponsive to antimicrobial treatment, negative cultures and serologically diagnostic laboratory tests, and high-level serum ferritin.
authors.affiliation: Dr Lutfı Kırdar Kartal Training and Research Hospital, Istanbul, Turkey. akoznur@yahoo.com
authors.forename: Oznur
authors.initials: O
authors.lastname: Ak
authors.forename: Serdar
authors.initials: S
authors.lastname: Ozer
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Cağ
authors.forename: Gül
authors.initials: G
authors.lastname: Karagöz
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D015415:Biomarkers / Q000097:blood; D003371:Cough / Q000209:etiology; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007964:Leukocytosis / Q000209:etiology; D008297:Male; D010996:Pleural Effusion / Q000209:etiology; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011237:Predictive Value of Tests; D016706:Still's Disease, Adult-Onset / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D000890:Anti-Infective Agents; D015415:Biomarkers; D005938:Glucocorticoids; D007166:Immunosuppressive Agents