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A 15 year-old girl with fever, jaundice, haemlysis, and sudden clinical deterioration

Pirisi, Mario and Branca, Barbara and Avellini, Claudio and Solinas, Antonio (2002) A 15 year-old girl with fever, jaundice, haemlysis, and sudden clinical deterioration. Postgraduate Medical Journal, Vol. 78 (918), p. 250. eISSN 1469-0756. Article.

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DOI: 10.1136/pmj.78.918.250


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 were absent.

Item Type:Article
ID Code:6875
Uncontrolled Keywords:Jaundice, haemolysis, fever
Subjects:Area 06 - Scienze mediche > MED/12 Gastroenterologia
Divisions:001 Università di Sassari > 01 Dipartimenti > Scienze biomediche
Publisher:BMJ Group
Publisher Policy:
Deposited On:14 Dec 2011 12:17

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