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A 68-year-old man presented with pain in the right upper abdomen and a temperature above 39°C. Although he had recently undergone a five-day course of treatment with broad-spectrum antibiotics at another hospital, the patient's white-cell count was 13,010 per cubic millimeter, with 81.2 percent neutrophils, 8.1 percent monocytes, 9.8 percent lymphocytes, 0.1 percent basophils, and 0.8 percent eosinophils. On physical examination, no abnormalities were detected. The liver and spleen were not enlarged, and there was no abdominal tenderness. The patient did not have polycystic kidney or liver disease, and there was no family history of these diseases. Computed tomographic scanning . . . [Full Text of this Article] |
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