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Diagnosis of Adult Onset Still’s Disease in a Patient Who has recovered from Coronavirus-19

Authors
  • Alshablan, Abdullah1
  • Jabbad, Reem1
  • Tayeb, Sarah1
  • Albeshri, Tariq1
  • Yelamanchili, Suvarna Raju1
  • Rabie, Nada1
  • Almutairi, Fahdah2
  • Samannodi, Mohammed1, 3
  • 1 Department of Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia
  • 2 Department of Pharmacy, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia
  • 3 Department of Medicine, College of medicine, Umm Al-Qura University, Makkah, Saudi Arabia
Type
Published Article
Journal
Clinical Medicine Insights. Case Reports
Publisher
SAGE Publications
Publication Date
Feb 19, 2021
Volume
14
Identifiers
DOI: 10.1177/1179547621996306
PMID: 33679145
PMCID: PMC7897806
Source
PubMed Central
Keywords
Disciplines
  • Case Report
License
Unknown

Abstract

Introduction: Adult Still’s disease (ASD) is an uncommon inflammatory disorder characterized by fevers, a salmon-colored rash, and arthritis. Cytokines storm syndrome related to Coronavirus-19 (COVID-19) usually occur in acute period of COVID-19 and can mimic clinical features of ASD. Case report: We present a case of a 27-year-old male who was hospitalized in July 2020 due to fever, sore throat, multiple joint pain, and body rash for 2 weeks. Patient recovered from COVID-19 8 weeks ago but his nasopharyngeal SARS CoV-2 PCR was still positive on current hospitalization. Post COVID-19 cytokines storm syndrome post COVID-19 was suspected but after further assessment and investigations, diagnosis of ASD was established and patient was treated with corticosteroids therapy and had favorable outcome. Conclusion: During COVID-19 pandemic, diagnosis of many other diseases either were delayed or missed. We encourage all clinicians to have a broader differential diagnosis to improve patient care and outcome.

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