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A 24-year-old male presented with fever, sore throat, and arthralgias for duration of 4 weeks. Fever was high grade, intermittent, associated with maculopapular rash. He was admitted in outside hospital and was started on antibiotics, antituberculosis treatment (ATT), and anti-malarials. The patient was discharged without any improvement. He was then admitted in KIMS hospital, Secunderabad, with persistence of initial symptoms and he was investigated thoroughly for all possible infections, malignancies and autoimmune disease. Rheumatologist consultation was taken, Adult-onset Still’s disease (AOSD) has been considered as he fulfilled the criteria of AOSD. He was started on appropriate therapy and was discharged in stable condition.