YOUR DIAGNOSIS PLEASE! A 50 YEARS OLD MAN WITH POST HEPATITIS-C CIRRHOSIS AND FEVER, COUGH AND LUNG NODULES

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PANAHI M.

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Journal Paper

Paper Information

Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2007 | Volume:50 | Issue:95 Page(s): 95-95

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Title

YOUR DIAGNOSIS PLEASE! A 50 YEARS OLD MAN WITH POST HEPATITIS-C CIRRHOSIS AND FEVER, COUGH AND LUNG NODULES

Author(s)

PANAHI M. | Issue Writer Certificate

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Abstract

A 50 years old man with biopsy-proved cirrhosis of liver, post HCY infection was on Peginterferon alfa 2-a (PEGASYS) and ribaver in (COPEGUS) since nine months ago.Pegylated interferon alfa 2a administered once weekly 180 microgram and ribaverin 800 mg/ day. HCY-RNA was undetectable at week 24 (Response) and alanine aminoteransferase concenteration was normalized in week 12. According to genotyping result the patient was categorized in difficult- to - treat group (genotype I-a and cirrhosis).Treatment planning and patient condition was stable until ten days ago; when he began to have fatigue, fever, malaise and caugh without production.On more examination of the patient he had lost one and half kilogram in weight. And suffering of exertional dyspenca and had low grade fever. The pulse rate was 115, the blood pressure was 130170 mmHg. The urine was positive for protein (+) and in CBC hyper leukocytosis and neutrocytosis (19000-75%) with 10% bandemia was reported. A chest X.Ray showed many pulmonary nodules, mostly in the right side and unilaterally blunt costodiaftagmatic angel. A C.T. Scan of the thorax showed some nodules without cavitatoin and calcification with alveolar infiltration in the lower part of right lung.Blood culture was obtained and the patient referred to a general hospital, but he refused hospitalization, and continued medical approach and treatment at home.PPD skin test was 8mm without induration and sed rate 85mm in the first hour. Sputum test for MTuberculosis Bacilli was negative ANA, C3, C4 were at normal range, SGOT 45, SGPT 47. Cryoglobuline positive and gammapathy was reported. Ultra sonography of kidneys was normal. A laboratory report clarified the diagnosis.

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APA: Copy

PANAHI, M.. (2007). YOUR DIAGNOSIS PLEASE! A 50 YEARS OLD MAN WITH POST HEPATITIS-C CIRRHOSIS AND FEVER, COUGH AND LUNG NODULES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 50(95), 95-95. SID. https://sid.ir/paper/51332/en

Vancouver: Copy

PANAHI M.. YOUR DIAGNOSIS PLEASE! A 50 YEARS OLD MAN WITH POST HEPATITIS-C CIRRHOSIS AND FEVER, COUGH AND LUNG NODULES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2007;50(95):95-95. Available from: https://sid.ir/paper/51332/en

IEEE: Copy

M. PANAHI, “YOUR DIAGNOSIS PLEASE! A 50 YEARS OLD MAN WITH POST HEPATITIS-C CIRRHOSIS AND FEVER, COUGH AND LUNG NODULES,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 50, no. 95, pp. 95–95, 2007, [Online]. Available: https://sid.ir/paper/51332/en

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