Posted On :
07 Jan 2024
A case of 13-year-old female child was admitted with c, o fever for 90 days, and jaundice for 45 days. No other complaints. Systemic examination normal(no hsmegaly).investigation sgot sgpt normal alk po 4 normal, s.bilirubin 5.4 (direct 3.2), s.albumin 2.2, s globulin 5.0, WBC count normal, platelets on higher side,esr 150, hb 9 mg, dl, ldh normal,s ferritin 690(high)crp positive(40), mp not seen, mauntox test negative, USG abdomen normal, ct scan abdomen normal, HIV, HBsAg, HCV negative, ana negative, anti lkm type 1 antibody negative. widal positive before 2 months now titers are normal,tb igm low positive (1.1)tb igg normal, blood culture no growth, stool culture no growth, liver biopsy report awaited. Till date treated with different antibiotics along with a hepatoprotective drug but still fever continues (daily 2 spikes of 100f )with high total and direct bilirubin. Looking sick but not toxic, weight loss with good appetite. What is the possibility?
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