Fever and abdominal pain in a southeast Asian man.
Oriental cholangitis is a common illness among immigrants from Southeast Asia. It is distinct from typical western cholangitis, and it is easily misdiagnosed unless a high index of suspicion is maintained. After stabilization with appropriate antimicrobial therapy, surgical drainage of the biliary tree is often advocated.
Haas
D W
DW
Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tenn., MD.
Gregory
D W
DW
D000005:Abdomen; D000328:Adult; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000473:pathology; D002761:Cholangitis / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D002769:Cholelithiasis / Q000150:complications / Q000473:pathology; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology*; D006801:Humans; D008099:Liver / Q000473:pathology; D008297:Male; D010146:Pain / Q000209:etiology; D011859:Radiography; D014744:Vietnam