04 November 2023: Articles
Sulfasalazine-Induced Delayed Hypersensitivity Reaction Presenting as Fever, Aseptic Meningitis, and Mesenteric Panniculitis in a Patient with Seronegative Arthritis
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Adverse events of drug therapy
Tristen Tze Wei Ng A* , Sue Davel A , Kevin David O’Connor DDOI: 10.12659/AJCR.941623
Am J Case Rep 2023; 24:e941623
Figure 2. Graph showing the patient’s basal body temperature, measured in degrees Celsius via a tympanic thermometer, against the duration of hospital admission measured in days. Intravenous antibiotics commenced on day 1 of admission, and aciclovir was added on day 7. Defervescence was achieved on day 13 after the diagnosis of aseptic meningitis was made, and the patient was started on a once-only dose of intravenous dexamethasone 8 mg. The patient was then switched to oral dexamethasone 8 mg for 3 days and then changed to oral prednisolone 50 mg for another 5 days.