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A 32-year-old man presented with fever and pain in the right upper quadrant. The patient had been well until the day after a night of heavy alcohol consumption (12 pints of wine1,2), when fatigue and generalized aches developed. The following evening, he consumed a similar quantity of wine and had sharp pain in the right upper quadrant of such severity that he cried out.3 The pain resolved quickly, but the area remained tender to palpation. He later had chills, sweats, and fever, which continued into the next day.
The patient bathed in cool water and after three days began
Differential Diagnosis
Dr. David W. Oldach's Diagnosis
Historical Discussion
Source Information
University of Maryland School of Medicine
Baltimore, MD 21201
Pennsylvania State University
University Park, PA 16802
University of Maryland School of Medicine
Baltimore, MD 21201
Address reprint requests to Dr. Benitez at 22 S. Greene St., Rm. S3B06, Baltimore, MD 21201.
References
Related Letters:
A Mysterious Death
Moulopoulos S.D., Behrman A. J., Wilson R. B., Schnorf H., Oldach D. W., Benitez R. M.
Extract |
Full Text
N Engl J Med 1998;
339:1248-1249, Oct 22, 1998.
Correspondence
This article has been cited by other articles:
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