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A Mauritian woman with fever, abdominal pain, and facial palsy
P Gyawali, D Agranoff, D C MacallanDepartment of Infectious
Diseases, St George's Hospital Medical School, London
SW17 0RE, UK
Correspondence to: Dr Macallan
Submitted 15
February 2000;
Accepted 24 May 2000
| The first 150 words of the full text of this article appear below. |
A previously well 43 year old woman of Mauritian origin presented to the surgeons with abdominal pain, nausea, and vomiting occurring over a period of eight weeks. She described it as a band-like constricting sensation encircling the upper abdomen and lower chest. Six weeks previously she had suffered a right lower motor neurone facial nerve palsy, which had resolved spontaneously. There were no respiratory symptoms. She had been exposed to tuberculosis at the age of 2 before immigrating to the UK. She was on no regular medication, and did not smoke or drink alcohol.
On examination she had a low grade fever and was tender in the
epigastrium. There was no obvious BCG scar. She had altered sensation
to light touch and pinprick in the lower thoracic and upper abdominal
dermatomes. She had modestly deranged liver function tests: bilirubin 9 µmol/l, alanine transaminase 86 U/l, alkaline phosphatase 321 U/l,
and amylase 417 IU/l but her full
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