Bartonella and the Spleen

A healthy 54-year-old woman was admitted with a 4-day history of high fever and left upper quadrant pain radiating to the back associated with nausea. Her temperature was 39 °C but examination findings were normal except for left upper quadrant and left costovertebral tenderness. Chest X-ray and urinalysis were normal. Hemoglobin was 10 gr/dL (normocytic), white blood cells (WBC) 10×109/L, platelets 141×109/L, albumin 3.5 g/dL, and globulins 3.2 g/dL. Other tests wer e normal except for lactic dehydrogenase (LDH) 784 IU/L (N 240-480 IU/L) despite normal liver and muscle enzymes.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research