title: Hepatitis, gallbladder hydrops, splenomegaly, and ascites in a child with scarlet fever.
abstract: We report a case of scarlet fever associated with hepatitis, gallbladder hydrops, splenomegaly, and ascites in a 15-year-old girl. The girl presented with fever and skin rash. Leukocyte, liver enzyme, and serum C-reactive protein concentrations were elevated. Ultrasonography revealed marked gallbladder wall thickening, diffuse liver parenchymal disease with moderate splenomegaly, and moderate ascites throughout the abdominal and pelvic cavities. Blood cultures for group A β-hemolytic streptococci were negative. Complete recovery was facilitated with antibiotic treatment.
authors.affiliation: Department of Medicine, Fu-Jen Catholic University, Taiwan, Republic of China.
authors.forename: Li Yueh
authors.initials: LY
authors.lastname: Wang
authors.forename: Ton-Ho
authors.initials: TH
authors.lastname: Young
mesh_terms: D000293:Adolescent; D001201:Ascites / Q000150:complications* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004487:Edema / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications*; D006505:Hepatitis / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D012541:Scarlet Fever / Q000150:complications* / Q000175:diagnosis; D013163:Splenomegaly / Q000150:complications* / Q000000981:diagnostic imaging; D014463:Ultrasonography