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Bacterial Hepatitis: A Case Report on an Unrecognized Cause of Fever of Unknown Origin

1978; Massachusetts Medical Society; Volume: 299; Issue: 19 Linguagem: Inglês

10.1056/nejm197811092991907

1533-4406

Louis Weinstein,

Liver Disease Diagnosis and Treatment

THAT any disorder of the liver, infectious or non-infectious, may be associated with prolonged abnormal temperatures has been recognized for a long time. Although the clinical features of some of these conditions are not always specifically diagnostic, anatomic changes are often sufficiently characteristic to permit a diagnosis. In the patient with prolonged fever of unknown origin described below, the cause proved to be chronic bacterial infection of the liver.Case ReportA 20-year-old woman was well until August, 1976, when she had fever and enlarged, tender cervical lymph nodes for two weeks. About 14 days later, the lymph nodes in . . .