© 2002 The Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Fever, jaundice, and hepatomegaly
Unusual cause of fever, jaundice, and hepatomegaly in a middle aged man
1 Sound Shore Medical Center of Westchester (SSMCW), New York Medical College, 16 Guion Place, New Rochelle, NY 10802, USA: Department of Medicine
2 Department of Pathology
Correspondence to:
Correspondence to:
Dr Yarrish;
soundshoremed@nymc.edu
Accepted 25 March 2002
Answers on p 569.
Keywords: splenectomy; jaundice; haemolytic anaemia; babesiosis
| The first 150 words of the full text of this article appear below. |
A 48 year old man presented with gradual onset of fever, anorexia, episodic nausea and vomiting, a 40 pound weight loss, and deepening jaundice over a six week period. Fever was intermittent and associated with chills and rigors. There was no history of pain in the right hypochondrium, pruritus, or clay coloured stools. The patient had a 30 pack year smoking history and consumed alcohol in moderation. He took no medications. Five years previously, he had an emergent laparotomy after a motor vehicle accident, details of which he was unable to supply. He was a native of El Salvador, but had been residing in the northeastern United States for the past four years. He was a gardener by occupation. There was no history of travel abroad during this time.
On examination, the temperature was 39°C, pulse rate 92 beats/min, blood pressure 120/60 mm Hg, and respiratory
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Unusual cause of fever, jaundice, and hepatomegaly in a middle aged man
Postgrad. Med. J. 2002 78: 569.[Extract] [Full Text] [PDF]
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