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Dear Editor A 56 year old Vietnamese American male presented to our hospital with sudden onset epigastric pain that was achy and intermittent with some pleuritic component. He denied fevers or other constitutional and abdominal symptoms but reported anorexia and generalized fatigue for 1 month. He had a remote history of alcohol abuse and had recently returned from a one month leisure trip in Vietnam, where he denied fresh water swimming and claimed to have consumed only bottled water. He was taking acetaminophen-codeine as needed for pain and denied any allergies. His examination was remarkable for a BMI of 14.4, generalized wasting, mild right upper quadrant and epigastric tenderness; Murphy’s sign was negative. Initial labs were significant for microcytic anemia (hemoglobin 12.3 g/dL), INR 1.3, albumin 2.5 g/dL, direct bilirubin 0.5 mg/dL, ALT 49 IU/L, glucose 336 mg/dL. Lipase was normal, HIV non-reactive.

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2011-06-13   |   667 visitas   |   Evalua este artículo 0 valoraciones

Vol. 10 Núm.3. Julio-Septiembre 2011 Pags. 370-371 Ann Hepatol 2011; 10(3)