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CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 93-95

Adult-Onset Still's Disease: An Unusual Cause of Fever


Department of Internal Medicine, University Teaching Hospital, University of Zambia School of Medicine, Lusaka, Zambia

Correspondence Address:
Dr. Owen Ngalamika
Department of Internal Medicine, University Teaching Hospital, University of Zambia School of Medicine, Lusaka
Zambia
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DOI: 10.4103/2384-5147.157433

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Adult-onset Still's disease (AOSD) is a rare auto-inflammatory syndrome. In Zambia, like most parts of Africa, fever is usually caused by infections (e.g., tuberculosis) and infestations (e.g., malaria). AOSD represents one of the few febrile conditions that are not due to microbial infections or parasitic infestations. It therefore cannot be managed with antibiotics or antihelminthics. Generally, patients are <35-year-old, febrile, have arthralgias, and an evanescent maculopapular rash. Treatment of AOSD requires the use of immunosuppressant drugs. This is the first report of a patient with AOSD in Zambia. It is one of the very few cases to be reported in Africa.


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