title: Bartonella henselae infection presenting with a picture of adult-onset Still's disease.
abstract: We report a patient with a clinical picture of suggestive for adult-onset Still's Disease (ASOD) due to Bartonella infection. A 42-year-old immunocompetent man was admitted with fever, rash, arthralgia and sore throat. As his clinical picture suggested ASOD except unusual skin manifestation, we treated him on steroid and ibuprofen. His fever and constitutional symptoms responded immediately within 24hrs of commencing therapy, yet rash and leukocytosis remained. Meanwhile, Bartonella infection was proved by culture of bone marrow. Minocyclin treatment started combined with hydroxychloroquine sulfate and the patient discharged with overall improvement.
authors.affiliation: Department of Emergency Medicine, Inha University School of Medicine, Incheon, Republic of Korea.
authors.forename: Areum
authors.initials: A
authors.lastname: Durey
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 400-711, Republic of Korea.
authors.forename: Hea Yoon
authors.initials: HY
authors.lastname: Kwon
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 400-711, Republic of Korea.
authors.forename: Jae-Hyoung
authors.initials: JH
authors.lastname: Im
authors.affiliation: Translation Research Center, Inha University School of Medicine, Incheon, Republic of Korea.
authors.forename: Sun Myoung
authors.initials: SM
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 400-711, Republic of Korea.
authors.forename: JiHyeon
authors.initials: J
authors.lastname: Baek
authors.affiliation: Department of Emergency Medicine, Inha University School of Medicine, Incheon, Republic of Korea.
authors.forename: Seung Baik
authors.initials: SB
authors.lastname: Han
authors.affiliation: Department of Microbiology, Inha University School of Medicine, Incheon, Republic of Korea.
authors.forename: Jae-Seung
authors.initials: JS
authors.lastname: Kang
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 400-711, Republic of Korea. Electronic address: ljinsoo@medimail.co.kr.
authors.forename: Jin-Soo
authors.initials: JS
authors.lastname: Lee
mesh_terms: D000328:Adult; D001474:Bartonella Infections / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*; D018416:Bartonella henselae / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification / Q000502:physiology*; D005260:Female; D006801:Humans; D006886:Hydroxychloroquine / Q000627:therapeutic use; D008297:Male; D016706:Still's Disease, Adult-Onset / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*
chemical_list: D006886:Hydroxychloroquine
keywords: Adult-Onset Still's disease; Autoimmune; Bartonella henselae; Bartonellosis