Abstract:
:A 24 year old woman living in the Mediterranean region of Turkey present with a three-month history of weight loss and irregular fever that was peaking at 40 degrees C with shivering. No definite aetiology could be identified in a local hospital. A bacterial infection had been suspected, but antibiotic therapy, at first with sulbactam-ampicillin and later with azithromycin, had no influence on the fever. Physical examination revealed an emaciated patient with fever (39 degrees C), pallor, and hepatosplenomegaly (spleen 9 cm and liver 5 cm palpable below the costal margin). No peripheral lymphadenopathy was present. The laboratory examinations are summarised in the table. Notably, a prominent increase of macrophages containing intracellular micro-organisms (figures 1 and 2) was seen in the bone marrow smears. The same micro-organisms were also identified within the Kupffer cells in liver biopsy.
journal_name
Postgrad Med Jjournal_title
Postgraduate medical journalauthors
Büyükaşik Y,Ileri NS,Haznedaroğlu IC,Demiroğlu H,Dündar Sdoi
10.1136/pgmj.74.870.237subject
Has Abstractpub_date
1998-04-01 00:00:00pages
237-9issue
870eissn
0032-5473issn
1469-0756journal_volume
74pub_type
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journal_title:Postgraduate medical journal
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