| A Case of Musculoskeletal Tuberculosis Mimicking Adult-Onset Still’s Disease |
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Jin Kyeong Cho, Min Sung Kim, Jin Ho Shin, Yeon Sang Jeong, Joon Wan Kim, Jae Phil Choi, Byoong Yong Choi |
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Department of Internal Medicine, Seoul Medical Center, Seoul, Korea |
| 성인형 스틸병과 유사한 임상양상을 보인 다발성 골 결핵 1예 |
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조진경, 김민성, 신진호, 정연상, 김준완, 최재필, 최병용 |
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서울특별시 서울의료원 내과 |
Correspondence:
Byoong Yong Choi, Tel: +82-2-2276-7812, Fax: +82-2-2276-7820, Email: atom9752@hanmail.net
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Received: 13 August 2013 • Revised: 25 September 2013 • Accepted: 16 October 2013 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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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. (Korean J Med 2014;86:785-790) |
| Key Words:
Fever of unknown origin; Mycobacterium tuberculosis; Osteoarticular; Still’s disease; Adult-onset |
| 주제어:
불명열; 골관절 결핵; 성인형 스틸병 |
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