title: [44 year old gardener with lower back pain, myalgia and fever].
abstract: We report the case of a 44 year old female gardener who presented to our emergency ward with lumbago, myalgia and fever of 39 degrees Celsius. She also reported acholic stools, darker looking urine and ikteric skin complexion. The patient was suffering from acute hepatitis A virus induced liver failure and was rapidly announced to a liver transplant centre. In the course of the illness the condition of the patient improved spontaneously and the serious hepatitis resolved and was self limiting. As a source of infection to possibilities were identified. Eating shellfish at the East Sea 4 weeks prior to admission or handling natural animal dung during her work as a gardener. One year after the event the patient once again is healthy and well.
authors.affiliation: Abteilung für Innere Medizin, Universitätsspital Basel, Basel. bareissd@uhbs.ch
authors.forename: D
authors.initials: D
authors.lastname: Bareiss
authors.forename: D
authors.initials: D
authors.lastname: Semela
authors.forename: M
authors.initials: M
authors.lastname: Heim
authors.forename: L
authors.initials: L
authors.lastname: Terracciano
authors.forename: S
authors.initials: S
authors.lastname: Hunziker
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage / Q000627:therapeutic use; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D002986:Clinical Trials as Topic; D003937:Diagnosis, Differential; D004630:Emergencies; D005260:Female; D005334:Fever / Q000209:etiology; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000209:etiology; D006506:Hepatitis A / Q000150:complications*; D006760:Hospitalization; D006801:Humans; D017114:Liver Failure, Acute / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D017116:Low Back Pain / Q000209:etiology; D008297:Male; D009135:Muscular Diseases / Q000209:etiology; D010146:Pain / Q000209:etiology; D011379:Prognosis; D012075:Remission, Spontaneous; D012307:Risk Factors; D012959:Socioeconomic Factors; D013997:Time Factors
chemical_list: D018712:Analgesics, Non-Narcotic; D000082:Acetaminophen