DOI: 10.36347/sasjm.2022.v08i03.005

Pages: 140-142

Adult onset Still’s disease is a systemic inflammatory disorder of unknown etiology characterized by the association of a high spiking fever, an evanescent skin rash, arthritis, and hyperleukocytosis. It is a rare disorder with potentially severe clinical features, including cardiac involvement. This systemic inflammatory disease of unknown origin should be considered in the differential diagnosis of pericarditis, with or without pericardial effusion. Cardiac tamponade is very rare sequelae that require an invasive approach, such as percutaneous or surgical pericardial drainage, in addition to the usual conservative therapy. We describe a case of a cardiac tamponade complicating Still’s disease in a 27 year-old male, with a brief review of literature on this entity. This case reminds physicians to not neglect the potential of severe systemic inflammation to lead to fatal complications in this group of patients.