Publication

[44 year old gardener with lower back pain, myalgia and fever]

Journal Paper/Review - Jan 20, 2010

Units
PubMed
Doi

Citation
Bareiss D, Semela D, Heim M, Terracciano L, Hunziker S. [44 year old gardener with lower back pain, myalgia and fever]. Praxis (Bern 1994) 2010; 99:127-32.
Type
Journal Paper/Review (Deutsch)
Journal
Praxis (Bern 1994) 2010; 99
Publication Date
Jan 20, 2010
Issn Print
1661-8157
Pages
127-32
Brief description/objective

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.