Anchovy-like fluid drained from a huge liver abscess: A diagnostic challenge
A 79-year-old man was presented to the emergency department at Peking University People's Hospital (Beijing, China) with 2 weeks of fever up to 102 F, yellow skin and sclera, and right upper abdominal pain. Clinical laboratory examination showed elevated inflammatory markers (white blood count...
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Published in | Travel medicine and infectious disease Vol. 58; p. 102705 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
Elsevier Ltd
01.03.2024
Elsevier Limited Elsevier |
Subjects | |
Online Access | Get full text |
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Summary: | A 79-year-old man was presented to the emergency department at Peking University People's Hospital (Beijing, China) with 2 weeks of fever up to 102 F, yellow skin and sclera, and right upper abdominal pain. Clinical laboratory examination showed elevated inflammatory markers (white blood count [WBC] 19.89 × 109/L neutrophil count: 18.56 × 109/L, C-reactive protein: 145.7 mg/L, and procalcitonin: 0.697 ng/mL); clotting dysfunction (prothrombin time: 20.3 s, prothrombin activity: 44%, D-dimer 3371 ng/mL), and hepatic dysfunction (alanine aminotransferase: 50 U/L, aspartate aminotransferase: 224 U/L, total bilirubin: 193.1 μmol/L, direct bilirubin: 139.2 μmol/L alkaline phosphatase: 190 U/L, γ-glutamyl transpeptidase: 76 U/L). [...]there is thus far no hospital or company that tests amoeba antigen or antibody in Beijing, China. In non-endemic areas like Beijing, there is no hospital or company that currently tests for amoeba antibody or antigen. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1477-8939 1873-0442 |
DOI: | 10.1016/j.tmaid.2024.102705 |