[One case of refractory gout with high fever]

Area of Science:

• Internal Medicine
• Gastroenterology
• Infectious Diseases

Background:

• Refractory gout management presents complex clinical challenges.
• Gastrointestinal complications can arise during systemic disease treatment.

Observation:

• A 50-year-old male patient with refractory gout developed persistent fever (39-40°C) for 60 days.
• The patient also exhibited gastrointestinal bleeding and delayed wound healing.
• These symptoms occurred during hospitalization for gout management.

Findings:

• A multidisciplinary treatment approach was employed, including debridement, vacuum sealing drainage, skin grafting, and flap repair.
• Pharmacological interventions were administered concurrently.
• The patient achieved full recovery and was discharged on day 104.

Implications:

• This case highlights the importance of vigilant monitoring for uncommon complications in patients with refractory gout.
• Integrated treatment strategies involving surgical and medical interventions are crucial for managing complex cases.
• Successful outcomes are achievable with comprehensive and prolonged care.