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[Calcium pyrophosphate dihydrate crystal deposition disease as an example of illness presentation in the elderly].

Abstract
Illness presentation in the elderly may be entirely non-specific, with fatigue, loss of function or the presence of geriatric syndromes. We report a 90 years old male consulting in the emergency room for delirium that persisted throughout hospitalization without finding a cause. During the course of hospitalization mild fever appeared and a left knee swelling became apparent. A synovial fluid aspiration showed a leukocyte count of 360 per field with 60% polymorphonuclear cells. The culture was negative. With a presumptive diagnosis of pseudogout, cochicine and celecoxib were started with remission of the confusional state. The patient was discharged 13 days after admission in good conditions.
AuthorsPaola R Fuentes, Javier Webar, Carla Matus, Cristián Vergara, Michelle Herrera, Elizabeth M Barthel, Jorge S Vega
JournalRevista medica de Chile (Rev Med Chil) Vol. 143 Issue 4 Pg. 536-9 (Apr 2015) ISSN: 0717-6163 [Electronic] Chile
Vernacular TitleEnfermedad por depósito de cristales de pirofosfato de calcio como ejemplo de forma de manifestación de la enfermedad en el adulto mayor.
PMID26204548 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • C-Reactive Protein
  • Calcium Pyrophosphate
Topics
  • Aged, 80 and over
  • C-Reactive Protein (analysis)
  • Calcium Pyrophosphate
  • Chondrocalcinosis (complications)
  • Delirium (etiology)
  • Fever (etiology)
  • Humans
  • Knee Injuries (complications)
  • Male

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