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84 results
  • Acute appendicitis complicated with necrotizing fasciitis in a patient with adult-onset Still's disease: A case report. [Case Reports]
  • MMedicine (Baltimore) 2018; 97(5):e9794
  • Huang ZH, Chiu YC, … Lu CC
  • CONCLUSIONS: (1) The steroid dose was difficult to titrate when AOSD complicated by sepsis. The differential diagnosis from MAS/HLH with bacterial/viral infection related severe sepsis was difficult but critical for decision making from clinicians and rheumatologists. (2) The conservative treatment with antibiotics for perforated appendix is safe but has a higher failure rate in immunocomprised patients such as systemic lupus erythematosus and AOSD. Early surgical intervention might contribute to better outcome. (3) The abdominal wall abscess can be spread from intra-abdominal lesion through the inferior epigastric vessels which were as weak points of abdominal wall. Imaging examinations contribute to acute diagnosis and help surgeons perform surgical interventions to prevent morbidity and mortality.
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