The ill, jaundiced patient: a triple whammy and the importance of waiting for all results

There are many causes of raised liver function tests in HIV infection. This lesson discusses a case where autoimmune hepatitis, acute hepatitis B and acute toxoplasmosis were diagnosed in a lady presenting with abdominal pain and jaundice. Oral steroids for autoimmune hepatitis may have worsened the...

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Bibliographic Details
Published inClinical medicine (London, England) Vol. 11; no. 1; pp. 91 - 92
Main Authors Mital, D, MacFaul, G
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.02.2011
Subjects
Acute Disease
Adult
Diagnosis, Differential
Female
Hepatitis B - complications
Hepatitis B - diagnosis
Hepatitis, Autoimmune - complications
Hepatitis, Autoimmune - diagnosis
Humans
Jaundice - diagnosis
Jaundice - etiology
Liver Function Tests - methods
Reproducibility of Results
Serologic Tests - methods
Toxoplasmosis - complications
Toxoplasmosis - diagnosis
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Summary:There are many causes of raised liver function tests in HIV infection. This lesson discusses a case where autoimmune hepatitis, acute hepatitis B and acute toxoplasmosis were diagnosed in a lady presenting with abdominal pain and jaundice. Oral steroids for autoimmune hepatitis may have worsened the clinical picture as her hepatitis serology was not available at the time. This lesson highlights the importance of waiting for all serology results to return in an ill jaundiced patient before deciding on active management and treatment
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:1470-2118
DOI:10.7861/clinmedicine.11-1-91