SOE 619: Fever & Lymphadenopathy

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....

Case Information

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...

What do you consider as your differential diagnoses?

Infectious Disease Inflammatory Disease Neoplastic Disease Bacterial Infection (failure of antibiotic therapy due to organism, patient or drug factors)Viral infection (EBV, CMV, Parvovirus, HIV)Fungal infection Systemic juvenile idiopathic arthritisKawasaki...