Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report

  • Authors:
    • Xiao‑Tu Xi
    • Mao‑Jie Wang
    • Run‑Yue Huang
    • Bang‑Han Ding
  • View Affiliations

  • Published online on: July 11, 2016     https://doi.org/10.3892/etm.2016.3512
  • Pages: 1817-1821
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Abstract

Adult onset Still's disease (AOSD) is a systemic inflammatory disorder characterized by rash, leukocytosis, fever and arthralgia/arthritis. The most common pulmonary manifestations associated with AOSD are pulmonary infiltrates and pleural effusion. The present study describes a 40-year-old male with AOSD who developed fever, sore throat and shortness of breath. Difficulty breathing promptly developed, and the patient was diagnosed with acute respiratory distress syndrome (ARDS). The patient did not respond to antibiotics, including imipenem, vancomycin, fluconazole, moxifloxacin, penicillin, doxycycline and meropenem, but was sensitive to glucocorticoid treatment, including methylprednisolone sodium succinate. ARDS accompanied by AOSD has been rarely reported in the literature. In conclusion, in a patient with ARDS who does not respond to antibiotic treatment, the involvement of AOSD should be considered.
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September-2016
Volume 12 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Xi XT, Wang MJ, Huang RY and Ding BH: Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report. Exp Ther Med 12: 1817-1821, 2016.
APA
Xi, X., Wang, M., Huang, R., & Ding, B. (2016). Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report. Experimental and Therapeutic Medicine, 12, 1817-1821. https://doi.org/10.3892/etm.2016.3512
MLA
Xi, X., Wang, M., Huang, R., Ding, B."Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report". Experimental and Therapeutic Medicine 12.3 (2016): 1817-1821.
Chicago
Xi, X., Wang, M., Huang, R., Ding, B."Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report". Experimental and Therapeutic Medicine 12, no. 3 (2016): 1817-1821. https://doi.org/10.3892/etm.2016.3512