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A Case of Musculoskeletal Tuberculosis Mimicking Adult-Onset Still¡¯s Disease
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Á¶Áø°æ(Cho Jin-Kyeong) - ¼¿ïƯº°½Ã ¼¿ïÀÇ·á¿ø ³»°ú
±è¹Î¼º(Kim Min-Sung) - ¼¿ïƯº°½Ã ¼¿ïÀÇ·á¿ø ³»°ú
½ÅÁøÈ£(Shin Jin-Ho) - ¼¿ïƯº°½Ã ¼¿ïÀÇ·á¿ø ³»°ú
Á¤¿¬»ó(Jeong Yeon-Sang) - ¼¿ïƯº°½Ã ¼¿ïÀÇ·á¿ø ³»°ú
±èÁØ¿Ï(Kim Joon-Wan) - ¼¿ïƯº°½Ã ¼¿ïÀÇ·á¿ø ³»°ú
ÃÖÀçÇÊ(Choi Jae-Phil) - ¼¿ïƯº°½Ã ¼¿ïÀÇ·á¿ø ³»°ú
ÃÖº´¿ë(Choi Byoong-Yong) - ¼¿ïƯº°½Ã ¼¿ïÀÇ·á¿ø ³»°ú
Abstract
A 46-year-old man was admitted to our hospital because of a fever of unknown origin. The patient had a skin rash, arthralgia, and hepatosplenomegaly. Laboratory tests showed leukemoid leukocytosis, a high serum ferritin level (31,200 ng/mL), and abnormal liver function tests. He was initially diagnosed with adult-onset Still¡¯s disease (AOSD). However, imaging studies incidentally detected a cold abscess involving the 11th thoracic vertebra. A biopsy of the abscess revealed histologically granulomatous caseous necrosis, positive for M. tuberculosis by polymerase chain reaction. We present a patient with musculoskeletal tuberculosis (TB) that clinically mimicked AOSD. In TB-endemic countries, extrapulmonary TB should be included in the differential diagnosis of AOSD.
Å°¿öµå
Fever of unknown origin, Mycobacterium tuberculosis, Osteoarticular, Still¡¯s disease, Adult-onset
KMID :
0882420140860060785
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