Diagnosis of Adult Onset Still's Disease in a Patient Who has recovered from Coronavirus-19

Abdullah Alshablan; Reem Jabbad; Sarah Tayeb; Tariq Albeshri; Suvarna Raju Yelamanchili; Nada Rabie; Fahdah Almutairi; Mohammed Samannodi

doi:10.1177/1179547621996306

Diagnosis of Adult Onset Still's Disease in a Patient Who has recovered from Coronavirus-19

Clin Med Insights Case Rep. 2021 Feb 19:14:1179547621996306. doi: 10.1177/1179547621996306. eCollection 2021.

Authors

Abdullah Alshablan¹, Reem Jabbad¹, Sarah Tayeb¹, Tariq Albeshri¹, Suvarna Raju Yelamanchili¹, Nada Rabie¹, Fahdah Almutairi², Mohammed Samannodi^{1

3}

Affiliations

¹ Department of Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
² Department of Pharmacy, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
³ Department of Medicine, College of medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

Abstract

Introduction: Adult Still's disease (ASD) is an uncommon inflammatory disorder characterized by fevers, a salmon-colored rash, and arthritis. Cytokines storm syndrome related to Coronavirus-19 (COVID-19) usually occur in acute period of COVID-19 and can mimic clinical features of ASD.

Case report: We present a case of a 27-year-old male who was hospitalized in July 2020 due to fever, sore throat, multiple joint pain, and body rash for 2 weeks. Patient recovered from COVID-19 8 weeks ago but his nasopharyngeal SARS CoV-2 PCR was still positive on current hospitalization. Post COVID-19 cytokines storm syndrome post COVID-19 was suspected but after further assessment and investigations, diagnosis of ASD was established and patient was treated with corticosteroids therapy and had favorable outcome.

Conclusion: During COVID-19 pandemic, diagnosis of many other diseases either were delayed or missed. We encourage all clinicians to have a broader differential diagnosis to improve patient care and outcome.

Keywords: COVID-19; Still’s; adult; cytokines.

Publication types

Case Reports