a 35 y/o pt was admitted in GI ward with complaint of fever(39-40) and jaundice and decreased loc.she had past hx of such a fever with spikes of about40.she was a case of FUO,with all w/u negative.the only + ones was awbc of 35000,with smudge cell 1 yr ago that decreased to 14000 now.she has +hx of lymphadenopathy,her lymph node & bone marrow bxs was nl.she also has elevated alk.phosphatase.tb and kala azar was r/o,although the pt showed response to a course of empirical therapy for kala azar.she had splenectomy and all bxs were nl.she is very pale with much wt loss.she is from village and her husband give hx of brucellosis of her,many yrs ago that was cured according to him.she has +hx of low back pain.
2007-06-03 22:18:50 · 4 answers · asked by Anonymous in Science & Mathematics ➔ Medicine
I don't Know, Cholangitis? SAMI's Answer Makes Sense.
2007-06-04 03:48:53 · answer #1 · answered by Anonymous · 0⤊ 0⤋
I know u must have thought of it, but just check for enteric fever. Brucellosis & enteric fever have similar routes of infection, I suppose, & FUO, lymph nodes +ve, fluctuating WBC-count all point to that.
A special request: do let me know what the outcome is.
2007-06-04 09:32:51 · answer #2 · answered by ketan C 2 · 2⤊ 0⤋
Congenital hemolytic anemia with secondary infection is the diagnosis that fits well with the clinical history you supplied.
2007-06-04 08:21:00 · answer #3 · answered by J.SWAMY I ఇ జ స్వామి 7 · 1⤊ 0⤋
pathologist
2007-06-05 21:36:00 · answer #4 · answered by einsteinliam2 4 · 0⤊ 1⤋