-
Case Report
-
Korean J Med. 2014;86(6):785-790. Published online June 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.6.785
- 성인형 스틸병과 유사한 임상양상을 보인 다발성 골 결핵 1예
-
조진경, 김민성, 신진호, 정연상, 김준완, 최재필, 최병용
-
서울특별시 서울의료원 내과
- A Case of Musculoskeletal Tuberculosis Mimicking Adult-Onset Still’s Disease
-
Jin Kyeong Cho, Min Sung Kim, Jin Ho Shin, Yeon Sang Jeong, Joon Wan Kim, Jae Phil Choi, Byoong Yong Choi
-
Department of Internal Medicine, Seoul Medical Center, Seoul, Korea
- Corresponding author: Byoong Yong Choi ,Tel: +82-2-2276-7812, Fax: +82-2-2276-7820, Email: atom9752@hanmail.net
- Received: August 13, 2013; Revised: September 25, 2013 Accepted: October 16, 2013.
- 저자들은 전신 오한, 피부 발진과 관절통 등을 동반한 원인불명열 환자에서 성인형 스틸병으로 의심하였으나 흉추와 경골을 침범한 골 결핵으로 최종 진단된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
߽ɾ :불명열; 골관절 결핵; 성인형 스틸병
- 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. (Korean J Med 2014;86:785-790)
Keywords :Fever of unknown origin, Mycobacterium tuberculosis, Osteoarticular, Still’s disease, Adult-onset
