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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

FUENTES R, Paola et al. Calcium pyrophosphate dihydrate crystal deposition disease as an example of illness presentation in the elderly. Rev. méd. Chile [online]. 2015, vol.143, n.4, pp.536-539. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872015000400018.

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.

Palabras clave : Aged; Chondrocalcinosis; Delirium; Fever.

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