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Altered consciousness

Dr. Janrao Smit Uttam., MBBS, MD IN GENERAL MEDICINE
 

Medical Case Details:

A 50 year old female brought by relatives with a history of fever since 5 days, altered behavior since 2 days.
On examination there is icterus and there is tenderness on right hypochondrium without any organomegaly. She is delirious since admission.
Please suggest the differential diagnosis.

 


Discussions


Dr. Patil Pratik Pramod
Medical Oncologist

Differential diagnosis to be entertained.
Epstein barr virus infection
Herpes simples virus infection
Cytomegalovirus infection
Severe falciparum malaria
Icteric leptospirosis
Scrub typhus
Rickettsial fever

Wilsons disease
Right sided heart failure
Alcoholic liver disease
Alcoholic encephalopathy

03.Sep, 11:34am
Dr. Amiya Kumar Chattopadhyay
Cardiologist

Hi Amit,
Probably a case of acute cholangitis with sepsis.
USG abdomen,Tc,Dc,ESR,CRP, prolactin and blood culture both anaerobic and aerobic.

12.Oct, 07:06am

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Disclaimer: All medical case discussions published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. 



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