{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:24:44Z","timestamp":1792758284185,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med\ufffdInsights\ufffdArthritis\ufffdMusculoskelet Disord"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Adult-onset Still\u2019s disease (AOSD) is a rare auto-inflammatory disease of unknown origin characterized mainly by fever, arthritis, and a rash. Aseptic meningitis is a rare complication of AOSD and is seen most commonly in young adults. Here, we report a case of AOSD in a 78-year female with fever and altered sensorium with lymphocyte predominant pleocytosis in the cerebrospinal fluid who was initially managed as tubercular meningitis. Adult-onset Still\u2019s disease was diagnosed as there was no response to antitubercular drugs even after 3\u2009months and based on persistent fever, inflammatory arthritis, rash, and highly raised inflammatory markers.<\/jats:p>","DOI":"10.1177\/11795441231195636","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T01:35:20Z","timestamp":1692927320000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Adult-Onset Still\u2019s Disease in an Elderly Patient Presenting as Aseptic Meningitis: A Case Report"],"prefix":"10.1177","volume":"16","author":[{"given":"Ujjwol","family":"Risal","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna","family":"Dhungana","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mrikchhya","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Department of General Practice and Emergency, B.P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"key":"bibr1-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1136\/ard.54.7.587"},{"key":"bibr2-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keaa899"},{"key":"bibr3-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2018.07.018"},{"key":"bibr4-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000000538"},{"key":"bibr5-11795441231195636","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.40.1037"},{"key":"bibr6-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-010-1529-8"},{"key":"bibr7-11795441231195636","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.42.1039"},{"key":"bibr8-11795441231195636","first-page":"765","volume":"20","author":"Garrote FJ","year":"1993","journal-title":"J Rheumatol"},{"key":"bibr9-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.54.5.1203"},{"key":"bibr10-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1016\/j.pjnns.2017.06.006"},{"key":"bibr11-11795441231195636","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2010.05.003"},{"key":"bibr12-11795441231195636","doi-asserted-by":"publisher","DOI":"10.5114\/reum.2021.107323"},{"key":"bibr13-11795441231195636","unstructured":"Nepal completes first national tuberculosis prevalence survey; another step towards EndTB#. https:\/\/www.who.int\/nepal\/news\/detail\/24-03-2020-nepal-completes-first-national-tuberculosis-prevalence-survey-another-step-towards-endtb"},{"key":"bibr14-11795441231195636","first-page":"424","volume":"19","author":"Yamaguchi M","year":"1992","journal-title":"J Rheumatol"}],"container-title":["Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795441231195636","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795441231195636","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795441231195636","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:11:19Z","timestamp":1777371079000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795441231195636"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":14,"alternative-id":["10.1177\/11795441231195636"],"URL":"https:\/\/doi.org\/10.1177\/11795441231195636","relation":{},"ISSN":["1179-5441","1179-5441"],"issn-type":[{"value":"1179-5441","type":"print"},{"value":"1179-5441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"11795441231195636"}}