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04 November 2023 : Case report  Australia

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 ORCID logo12ABCDE*, Sue Davel ORCID logo1ABCDE, Kevin David O'Connor345DE

DOI: 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.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923