A mysterious death
A mysterious death
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DOI：
10.1056/nejm199806113382411
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发表时间：
1998-06-11
影响因子：
158.5
通讯作者：
Benitez, RM
中科院分区：
文献类型：
--
作者：
Oldach, DW;Borza, EN;Benitez, RM
病例介绍一名32岁男子出现发热和右上腹疼痛。患者一直很好，直到第二天晚上大量饮酒（1,2品脱葡萄酒1，2），当疲劳和全身疼痛发展。第二天晚上，他喝了同样数量的酒，右上腹剧痛，疼痛非常严重，他哭了出来。3疼痛很快消失，但该区域仍然触痛。后来他出现寒战、出汗和发烧，这种情况持续到第二天。病人用冷水洗澡，然后..... .
Presentation of CaseA 32-year-old man presented with fever and pain in the right upper quadrant. The patient had been well until the day after a night of heavy alcohol consumption (12 pints of wine1,2), when fatigue and generalized aches developed. The following evening, he consumed a similar quantity of wine and had sharp pain in the right upper quadrant of such severity that he cried out.3The pain resolved quickly, but the area remained tender to palpation. He later had chills, sweats, and fever, which continued into the next day.The patient bathed in cool water and . . .