Abstract
Adult Stills disease, which is junior rheumatoid arthritis contracted by adults, was famous as one of the fever unknown origin disease. In oral and maxillofacial surgery, when we encounter a fever case after operation, we must consider about not only postoperative infection but also other feverish diseases. In this time, we experienced a case of adult Stills disease (Patient was 47years old man) with major symptoms being fever, arthrosis, and efflorescence and reported about detail of those.
This case was as follows. The day following the operation day, the patients fever had risen to over 40°C and he sprained his ankle and wrist. Then efflorescence his arm and legs, and it scattered. At first, we suspected that this fever was brought on by a sepsis of infection from the operated area. We administered some kind of antimicrobial by injection, however the fever did not go down, so he was injected with immune serum globulin simultaneously, but the fever did not subside. We referred to medical department for check the other complications. Therefore this case was diagnosed as adult Stills disease with major symptoms being fever, arthrosis, and efflorescence.
