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Urinary infection, vomiting, ultrasound showed coarse hepatomegaly, B/L plural effusion, gall bladder inflammation. Serious?

sir,my brother is working in salem as a lab tech,recently (last week) he went to tour with his parents in pallakadu,but there he had fever chills and abdominal pain .2 days back when he shown to Dr and send urine re&c/s,and they diagnosed he is having urinary infection,2day he had again started vomitting so he went to Dr and ultrasound was done for him and the result is coarse- hepatomegaly ,B/L plural effusion more in left side ,inflamation of gallbladder ?dengu fever+ fatty liver .is it serious can u give advice to us,and treatment?
Asked On : Sat, 29 Sep 2012
Answers:  2 Views:  51
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM!

He needs to be evaluated in great detail.
He seems to have a silent chronic liver disease and now worsened sue to infection.
Acute infection could be viral like dengue or bacterial.
Does he have free fluid(ascitis) in the abdomen?

It lookss serious and needs indoor treatment--may be an ICU.
Difficult to advise treatment without all reports.
Go to a good tertiary centre with good facilities.
There are many differential diagnoses.

Take care and please keep me informed of your progress.
Good Luck!
I hope to have answered your query satisfactorily.
Thank you!
Answered: Sat, 29 Sep 2012
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OBGYN Dr. Asra Ishtiaq Ahmed's  Response
hello there..

As per your history i would say that you should admit your brother in a hospital at the earlest where the cause of infection can be diagnosed and he can be started on antibiotics and proper treatment. Its definitely a multiorgan dysfunction and has to be properly evaluated and treated. So dont delay.
You have mentioned he is dengue positive so Symptoms of dengue fever are headache, fever, exhaustion, severe joint and muscle pain, swollen glands (lymphadenopathy), and rash. The presence (the "dengue triad") of fever, rash, and headache (and other pains) is particularly characteristic of dengue fever.
Incase he ha sthese , he should get his platelet counts assessed as if they are low he would develop bleeding complications.
His condition is definitely serious and you should get him a doctor personally in a hospital at the earliest.

Hope he gets well soon.
Answered: Sat, 29 Sep 2012
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