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Previous Volume 330:48-50 January 6, 1994 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 44-year-old Israeli-born farmer who lived in the Jordan Valley was admitted to the hospital for evaluation with a two-week history of fever, jaundice, and malaise. His family history was unremarkable, and he had no history of liver disease. He had not drunk unpasteurized milk or consumed alcohol. He did not smoke or abuse drugs, and he was heterosexual. He had taken no medications recently.

Although fever and malaise are nonspecific symptoms that could be attributed to almost any inflammatory disease process, the patient clearly has involvement of the hepatobiliary system. I would first have to rule out acute viral . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine (R.O.) and the Hematology Unit (Y.M.), Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.

Address reprint requests to Dr. Oren at the Department of Medicine, Hadassah University Hospital, Mount Scopus, Jerusalem 91240, Israel.

References

Related Letters:

Clinical Problem-Solving: Assembling a Coherent Story
Hauben M., Oren R., Matzner Y.
Extract | Full Text  
N Engl J Med 1994; 330:1618, Jun 2, 1994. Correspondence

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• Hauben, M., Oren, R., Matzner, Y. (1994). Clinical Problem-Solving: Assembling a Coherent Story. NEJM 330: 1618-1618 [Full Text]