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.
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Authors | Paola R Fuentes, Javier Webar, Carla Matus, Cristián Vergara, Michelle Herrera, Elizabeth M Barthel, Jorge S Vega |
Journal | Revista medica de Chile
(Rev Med Chil)
Vol. 143
Issue 4
Pg. 536-9
(Apr 2015)
ISSN: 0717-6163 [Electronic] Chile |
Vernacular Title | Enfermedad por depósito de cristales de pirofosfato de calcio como ejemplo de forma de manifestación de la enfermedad en el adulto mayor. |
PMID | 26204548
(Publication Type: Case Reports, English Abstract, Journal Article)
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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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