AS every year, on the 14th of January, dr. Sansilvestro celebrated the birthday in the hospital, with colleagues and the staff of the department. A few minutes for a toast and a pastry, then shut himself in the room with the fido Ugo, to discuss the case of the new hospital. “Well, it’s a jaundice febrile, but it is not a cholangitis, is not a cholecystitis, and it is not pancreatitis. And then there must be the other”, he snapped.
dr. Ugo Limits continued with the exposure of the case: “There is a contemporary gastro-enteritis, with six to eight discharges a day and vomiting is still not appeased”.
“Watch the case, and then what?”, said Sansilvestro . Ugo took a deep breath, thinking of the answer: “I Think it is normal to lose a little blood with the stool, after so many downloads”. “You let out with the eyedropper, the news – replied Sansilvestro – and you know that you should not overlook any item, even if it seems insignificant”. “As, for example, a strong headache, resistant to analgesics,…”. “Yes, as well. You are informed whether you have travelled abroad recently?”.
“No trip,” replied Ugo – romano de Roma, glued to his city. Fifty-year-old, hefty, and with the classic iron, so far.” “Oh, finally you’re unbuttoned! Now we know better, lord. Maybe on new year’s eve, with all the party, made a splash in the river Tiber”.
The two stood, as if shocked. They looked at each other in the eyes for a second, then left the room, headed in the lane, in order to formulate the question to the patient.
The response was positive. But that disease will have?
* Doctor of general medicine, Asl Napoli 3 south
your answers
it Could be leptospirosis, a possible consequence of the plunge in the Tiber, and contact with contaminated water.
John Cappellari
Leptospirosis
Giancarlo Major
good day,for me, it’s Leptospirosis.
Giovanbattista Miceli
The patient during the bath in the water of the Tiber has contracted leptospirosis
Bruna Cibrario
I Think it is a gastroenteritis from entamoeba histolotica, respects the times (14 days incubation), the route of infection (contaminated water), febrile jaundice, the frequent discharges daily of stool mixed with blood and headache resistant to analgesics.
Francesca Serio
I Guess Leptospirosis.
Luca Chiapponi
Leptospirosis
Paul Tenenbaum
The case of the imaginary described the 21 January could be leptospirosis?
Sabina Ates
The patient may have contracted leptospirosis jaundice-hemorrhagic
Lucina Rizzotti
the answer to The question today of Doctor House of Ernesto di Cianni is for me : leptospirosis.
Free Malfanti
Gastroenteritis due to typhus.
marie-Antoinette the Pharaohs
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