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A 23-year-old man presented to the emergency department with a 2-day history of fever, nausea, conjunctival pallor and new yellowing of the skin. His medical history was unremarkable. Physical examination demonstrated mild jaundice of the sclera and skin and a palpable spleen. Laboratory testing showed a haemoglobin of 6.6 g/L (reference range 13.7–16.8 g/L), total bilirubin of 7.03 mg/dL (0.4–1.5 mg/dL), direct bilirubin of 0.67 mg/dL (0–0.4 mg/dL) and a reticulocyte fraction of 2.8% (0.67–1.92%). Ultrasonography (US) and enhanced CT revealed splenomegaly …
Correction notice This article has been corrected since it appeared Online First. Author name has been corrected from Yuichiro Shiraishi to Yutaro Shiraishi.
Contributors HM contributed to write manuscript, discussion, and patient care. YS also contributed to discussion and patient care. We do not have any funding sources in the writing of the manuscript or the decision to submit for publication. We do not have any conflict of interest.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Consent obtained directly from patient(s).
Provenance and peer review Not commissioned; internally peer reviewed.
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