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An Unusual Case of Fever in Paralytic Ileus
Shubhangi Kanitkar1, Sai Priya Ande1, Prasad Bagare1
1Department of Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.
Abstract:
Still's disease is frequently a condition of exclusion for patients with an unidentified cause of fever. Accompanying symptoms typically include fever, arthralgia, and a transient skin rash. The underlying pathophysiology indicates an autoimmune origin. Diagnosis is primarily clinical, often utilizing the Yamaguchi criteria. The case in question involves a 19-year-old male presenting with high-grade fever and paralytic ileus. The patient received intravenous glucocorticoids and cyclophosphamide, resulting in a rapid clinical improvement. During the follow-up, tofacitinib was initiated based on the clinical response observed.
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