Case 36-2016: A 50-Year-Old Man with Acute Liver Injury
A 50-year-old man from India, with a remote history of alcohol use, was admitted to this hospital because of abnormal liver function test results, anemia, and acute kidney injury. A diagnosis was made. Presentation of Case Dr. Nneka N. Ufere (Medicine): A 50-year-old man was admitted to this hospita...
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| Veröffentlicht in: | The New England journal of medicine 2016-11, Vol.375 (21), p.2082-2092 |
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| container_title | The New England journal of medicine |
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| creator | Friedman, Lawrence S Lee, Stephen R Nelson, Sandra B Masia, Ricard |
| description | A 50-year-old man from India, with a remote history of alcohol use, was admitted to this hospital because of abnormal liver function test results, anemia, and acute kidney injury. A diagnosis was made.
Presentation of Case
Dr. Nneka N. Ufere
(Medicine): A 50-year-old man was admitted to this hospital because of elevated levels of serum aminotransferases, hyperbilirubinemia, anemia, and acute kidney injury.
The patient had been well until 6 days before admission, when fatigue and malaise developed. The next day, he had multiple episodes of nonbloody, nonbilious vomiting, accompanied by abdominal distention and diffuse abdominal pain. He felt feverish, but his temperature was 35.5°C. He took an unknown nonprescription medication for pain and one dose of ciprofloxacin that was provided by a family member. Three days before admission, his family noted yellowing of . . . |
| doi_str_mv | 10.1056/NEJMcpc1610099 |
| format | Article |
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Presentation of Case
Dr. Nneka N. Ufere
(Medicine): A 50-year-old man was admitted to this hospital because of elevated levels of serum aminotransferases, hyperbilirubinemia, anemia, and acute kidney injury.
The patient had been well until 6 days before admission, when fatigue and malaise developed. The next day, he had multiple episodes of nonbloody, nonbilious vomiting, accompanied by abdominal distention and diffuse abdominal pain. He felt feverish, but his temperature was 35.5°C. He took an unknown nonprescription medication for pain and one dose of ciprofloxacin that was provided by a family member. Three days before admission, his family noted yellowing of . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMcpc1610099</identifier><identifier>PMID: 27959737</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Acute Kidney Injury - complications ; Binge Drinking - complications ; Diagnosis, Differential ; Hepatitis E - complications ; Hepatitis E - diagnostic imaging ; Hepatitis E - pathology ; Humans ; Liver - diagnostic imaging ; Liver - pathology ; Liver Failure, Acute - etiology ; Liver Function Tests ; Male ; Middle Aged ; Ultrasonography</subject><ispartof>The New England journal of medicine, 2016-11, Vol.375 (21), p.2082-2092</ispartof><rights>Copyright © 2016 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c281t-c9d5489ffb0c57875390197209149bb8c455c3d2e4859535b0d2dea8873984aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMcpc1610099$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMcpc1610099$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,2759,2760,23930,23931,25140,26103,27924,27925,52382,54064,64387</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27959737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ebeling, Sally H</contributor><contributor>Cabot, Richard C</contributor><contributor>McDonald, Emily K</contributor><contributor>Rosenberg, Eric S</contributor><contributor>Harris, Nancy Lee</contributor><contributor>Shepard, Jo-Anne O</contributor><contributor>Cort, Alice M</contributor><contributor>Cort, Alice M.</contributor><contributor>Shepard, Jo-Anne O.</contributor><contributor>McDonald, Emily K.</contributor><contributor>Ebeling, Sally H.</contributor><contributor>Rosenberg, Eric S.</contributor><contributor>Cabot, Richard C.</contributor><creatorcontrib>Friedman, Lawrence S</creatorcontrib><creatorcontrib>Lee, Stephen R</creatorcontrib><creatorcontrib>Nelson, Sandra B</creatorcontrib><creatorcontrib>Masia, Ricard</creatorcontrib><title>Case 36-2016: A 50-Year-Old Man with Acute Liver Injury</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>A 50-year-old man from India, with a remote history of alcohol use, was admitted to this hospital because of abnormal liver function test results, anemia, and acute kidney injury. A diagnosis was made.
Presentation of Case
Dr. Nneka N. Ufere
(Medicine): A 50-year-old man was admitted to this hospital because of elevated levels of serum aminotransferases, hyperbilirubinemia, anemia, and acute kidney injury.
The patient had been well until 6 days before admission, when fatigue and malaise developed. The next day, he had multiple episodes of nonbloody, nonbilious vomiting, accompanied by abdominal distention and diffuse abdominal pain. He felt feverish, but his temperature was 35.5°C. He took an unknown nonprescription medication for pain and one dose of ciprofloxacin that was provided by a family member. Three days before admission, his family noted yellowing of . . .</description><subject>Acute Kidney Injury - complications</subject><subject>Binge Drinking - complications</subject><subject>Diagnosis, Differential</subject><subject>Hepatitis E - complications</subject><subject>Hepatitis E - diagnostic imaging</subject><subject>Hepatitis E - pathology</subject><subject>Humans</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - pathology</subject><subject>Liver Failure, Acute - etiology</subject><subject>Liver Function Tests</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ultrasonography</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOAzEQRS0EIiGhpURUiMZh_BjbU6IovBSggdryer1Somx2WScFf59FCUgU3GaaM0e6l7ELARMBaG5fZ88vsY3CCACiIzYUqBTXGswxGwJIx7UlNWBnOS-hj9B0ygbSEpJVdsjG05DTlTJcgjBjdlKFVU7nhztiH_ez9-kjn789PE3v5jxKJzY8UonaUVUVENE6i4pAkJVAvb0oXNSIUZUyaYeECgsoZZmCc1aR0yGoEbvZe9uu-dymvPH1Ise0WoV1arbZC4fSWIHG9Ohkj8auyblLlW-7RR26Ly_Afy_g_y7QP1we3NuiTuUv_lO5B673QF1nv07L-j_TDhjEXXU</recordid><startdate>20161124</startdate><enddate>20161124</enddate><creator>Friedman, Lawrence S</creator><creator>Lee, Stephen R</creator><creator>Nelson, Sandra B</creator><creator>Masia, Ricard</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161124</creationdate><title>Case 36-2016</title><author>Friedman, Lawrence S ; Lee, Stephen R ; Nelson, Sandra B ; Masia, Ricard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c281t-c9d5489ffb0c57875390197209149bb8c455c3d2e4859535b0d2dea8873984aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute Kidney Injury - complications</topic><topic>Binge Drinking - complications</topic><topic>Diagnosis, Differential</topic><topic>Hepatitis E - complications</topic><topic>Hepatitis E - diagnostic imaging</topic><topic>Hepatitis E - pathology</topic><topic>Humans</topic><topic>Liver - diagnostic imaging</topic><topic>Liver - pathology</topic><topic>Liver Failure, Acute - etiology</topic><topic>Liver Function Tests</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Friedman, Lawrence S</creatorcontrib><creatorcontrib>Lee, Stephen R</creatorcontrib><creatorcontrib>Nelson, Sandra B</creatorcontrib><creatorcontrib>Masia, Ricard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Friedman, Lawrence S</au><au>Lee, Stephen R</au><au>Nelson, Sandra B</au><au>Masia, Ricard</au><au>Ebeling, Sally H</au><au>Cabot, Richard C</au><au>McDonald, Emily K</au><au>Rosenberg, Eric S</au><au>Harris, Nancy Lee</au><au>Shepard, Jo-Anne O</au><au>Cort, Alice M</au><au>Cort, Alice M.</au><au>Shepard, Jo-Anne O.</au><au>McDonald, Emily K.</au><au>Ebeling, Sally H.</au><au>Rosenberg, Eric S.</au><au>Cabot, Richard C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case 36-2016: A 50-Year-Old Man with Acute Liver Injury</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2016-11-24</date><risdate>2016</risdate><volume>375</volume><issue>21</issue><spage>2082</spage><epage>2092</epage><pages>2082-2092</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>A 50-year-old man from India, with a remote history of alcohol use, was admitted to this hospital because of abnormal liver function test results, anemia, and acute kidney injury. A diagnosis was made.
Presentation of Case
Dr. Nneka N. Ufere
(Medicine): A 50-year-old man was admitted to this hospital because of elevated levels of serum aminotransferases, hyperbilirubinemia, anemia, and acute kidney injury.
The patient had been well until 6 days before admission, when fatigue and malaise developed. The next day, he had multiple episodes of nonbloody, nonbilious vomiting, accompanied by abdominal distention and diffuse abdominal pain. He felt feverish, but his temperature was 35.5°C. He took an unknown nonprescription medication for pain and one dose of ciprofloxacin that was provided by a family member. Three days before admission, his family noted yellowing of . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>27959737</pmid><doi>10.1056/NEJMcpc1610099</doi><tpages>11</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Acute Kidney Injury - complications Binge Drinking - complications Diagnosis, Differential Hepatitis E - complications Hepatitis E - diagnostic imaging Hepatitis E - pathology Humans Liver - diagnostic imaging Liver - pathology Liver Failure, Acute - etiology Liver Function Tests Male Middle Aged Ultrasonography |
| title | Case 36-2016: A 50-Year-Old Man with Acute Liver Injury |
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