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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 344:591-599 February 22, 2001 Number 8
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Case 6-2001— A 17-Year-Old Girl with Marked Jaundice and Weight Loss
Maureen M. Jonas, and Fiona M. Graeme-Cook

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Presentation of Case

A 17-year-old girl was admitted to the hospital because of progressive jaundice and weight loss.

The patient had been well until four months earlier, when she experienced the onset of malaise, anorexia, a sore throat, and tender cervical lymph nodes. Two months later, she ate "hallucinogenic mushrooms." Five weeks before admission, she observed blood clots in her stool twice on a single day. Three weeks later, she ate more mushrooms. Progressive jaundice subsequently developed, with vomiting, dark urine, and light stools.

Ten days before admission, laboratory tests were ordered by the patient's physician (Table 1 and Table 2). . . . [Full Text of this Article]

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Dr. Maureen M. Jonas's Diagnosis

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