Introduction An 18-year-old man is admitted to intensive care for vasopressor support. He has recently been assessed in the rheumatology clinic for worsening joint pains over the past 6 months. He presented with a 3-day history of fever, dyspnoea and lymphadenopathy....
Over the next two days his condition continues to worsen. He has rising vasopressor requirements and is noted to have hepatomegaly and a widespread erythematous...