© 2002 The Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Jaundice and fever
A 15 year old girl with fever, jaundice, haemolysis, and sudden clinical deterioration
1 Liver Unit, University of Udine, Italy
2 Chair of Gastroenteology, University of Sassari, Italy
Correspondence to:
Correspondence to:
Professor Mario Pirisi, Universitá del Piemonte Orientale "Amedeo Avogadro", Dipartimento di Scienze Mediche, Via Solaroli 17, 28100 Novara (NO), Italy;
mario.pirisi@med.unipmn.it
Accepted 27 November 2001
Answers on p 253.
| The first 150 words of the full text of this article appear below. |
A 15 year old girl presented to an internal medicine ward with a two day history of jaundice and intermittent, high grade fever. Low grade fever and constitutional symptoms had been present for three weeks, during which the only medication taken was ibuprofen. Her mother recalled having found rat excrement in her knapsack, after the girl had returned from a rural resort, a few days before the onset of her illness. All family members had eaten seafood on a single occasion, two weeks before admission. She was not sexually active, had never been transfused, had no known exposure to hepatotoxic chemicals, and did not drink alcohol or use recreational drugs. There was no family history of liver disease or of recent travel to foreign countries. On physical examination, she was alert and cooperative. There was hepatomegaly and diffuse abdominal tenderness; ascites and stigmata of chronic liver disease
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A 15 year old girl with fever, jaundice, haemolysis, and sudden clinical deterioration
Postgrad. Med. J. 2002 78: 253-254.[Extract] [Full Text] [PDF]
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