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Title: Falciparum Malaria or Fulminant Hepatic Failure?
Authors: Tasnim Ahsan , S.M. Rab , M.S. Shekhani
Journal: Journal of Pakistan Medical Association
Publisher: Pakistan Medical Association.
Country: Pakistan
Year: 1993
Volume: 43
Issue: 10
Language: English
Abstract
Six cases of severe jaundice and encephaiopathy due to falciparum hepatitis initially diagnosed as fulminant hepatic failure are reported. This rare presentation of falciparum malaria should be suspected in patients with persistent fever, jaundice, encephalopathy and hepatomegaly. The diagnosis should be further suspected when the liver function tests show a predominantly conjugated hyperbilirubinemla with only modest elevation of liver enzymes and alkaline phosphatase. Liver biopsy is valuable in establishing the diagnosis at all stages of the disease
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