A Man with Inflamed Ears
| Autor: | Harold M. Adelman, Bryan Bognar, Edward P. Cutolo, Joanne Valeriano-Marcet, Charlotte A. Truitt, Rajani P. Shah, Vipul R. Shah, Daniel Reichmuth, Geoffrey Greene |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Arthritis law.invention Prednisone law Biopsy Humans Medicine Polychondritis Relapsing Ear External Hepatitis medicine.diagnostic_test business.industry Arthrocentesis General Medicine Respiration Disorders medicine.disease Rash Surgery Gram staining medicine.anatomical_structure Bone marrow medicine.symptom business medicine.drug |
| Zdroj: | Hospital Practice. 34:35-38 |
| ISSN: | 2377-1003 2154-8331 |
| DOI: | 10.1080/21548331.1999.11443839 |
| Popis: | A 23-year-old man presented with fever, dyspnea, nonproductive cough, left eye redness, reduced vision, and bilateral ear pain and tenderness. The symptoms had begun two days earlier, eight days after he was discharged from the hospital with a presumptive diagnosis of Still's disease. He was first seen a month before the current admission for complaints of fever (as high as 39.4 degrees C), nonproductive cough, and asymmetric arthritis. The workup at that time included arthrocentesis of the right knee. Analysis of the joint fluid showed 7,500 white blood cells/mm3 and no crystals. A gram stain and culture of the fluid were negative. HIV and hepatitis tests, bone marrow biopsy and culture, transesophageal echocardiography, abdominal computed tomography, radionuclide bone scanning, and rheumatologic tests failed to identify the problem. The development of an evanescent macular pink rash on day 15 suggested the possibility of Still's disease. Treatment with prednisone (40 mg po qd) was initiated, and the patient was discharged on day 19. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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