QUIZ
Year : 2006 | Volume
: 12 | Issue : 2 | Page : 95-
Multiple irregular liver lesions
Ayman A Abdo
Division of Gastroenterology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
Correspondence Address:
Ayman A Abdo
P.O. Bob 2925(59), Riyadh 11461
Saudi Arabia
How to cite this article:
Abdo AA. Multiple irregular liver lesions.Saudi J Gastroenterol 2006;12:95-95
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How to cite this URL:
Abdo AA. Multiple irregular liver lesions. Saudi J Gastroenterol [serial online] 2006 [cited 2022 Jul 2 ];12:95-95
Available from: https://www.saudijgastro.com/text.asp?2006/12/2/95/27855 |
Full Text
Case history:
A 32 years old female presented with 3 months history offrequent episodes of intermittent fever, rigors, sweating,generalized weakness, malaise, vomiting, and Rt.hypochondrial pain. On examination, she was found to bemalnourished, febrile (38.5 ºC), hypotensive (85/55 mmHg),mildly jaundiced with hepatomegaly and a tender right upperquadrant. Initial laboratory investigations showed WBCs:11.5 109/L; 75% Polymorphs, Hb: 86 g/L, Platelets: 482 109/L, INR: 1.1, Urea: 3.1 mmol/L, Creatinine: 75 μmol/L, Bloodglucose: 5.7 mmol/L, ALT: 9 U/L, AST: 25 U/L, ALP: 887U/L, GGT: 285 IU/L, Bilirubin: 31 μmol/L, Albumin: 27 g/L,Amylase: 158 IU/L, Lipase: 279 IU/L. Abdominal ultrasoundshowed multiple irregular hypo-echoic focal lesions mainlyin the Right lobe and a collection in the area of the gallbladder that was drained and sent for culture, which revealedStenotrophomonas maltophilia, many Candida dubliniensis,and many Candida krusei isolated.
Questions :
1. What are the different diagnostic possibilities?
2. What are the investigations in Panels A & B, and what did
they show?
3. What is the final diagnosis?
4. What is the definitive treatment of such a case and why?
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