%0 Case Reports
%T An Unusual Case of Fever in Paralytic Ileus.
%A Kanitkar S
%A Ande SP
%A Bagare P
%A Borle A
%A Ahlawat M
%J Cureus
%V 16
%N 6
%D 2024 Jun
%M 38966488
暂无%R 10.7759/cureus.61671
%X Still's disease is frequently a condition of exclusion for patients with an unidentified cause of fever. Accompanying symptoms typically include fever, arthralgia, and a transient skin rash. The underlying pathophysiology indicates an autoimmune origin. Diagnosis is primarily clinical, often utilizing the Yamaguchi criteria. The case in question involves a 19-year-old male presenting with high-grade fever and paralytic ileus. The patient received intravenous glucocorticoids and cyclophosphamide, resulting in a rapid clinical improvement. During the follow-up, tofacitinib was initiated based on the clinical response observed.