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82 Possible Causes for Abdominal Pain, Malaise, Virus Associated Hemophagocytic Syndrome

  • Infectious Mononucleosis

    Severe chronic active Epstein-Barr virus infection accompanied by virus-associated hemophagocytic syndrome, cerebellar ataxia and encephalitis.[emedicine.medscape.com] The evaluation of a febrile patient with acute abdominal pain represents a frequent yet possibly challenging situation in the emergency department (ED).[ncbi.nlm.nih.gov] A 16-year-old, previously healthy girl presents with a several-day history of fever, sore throat, and malaise. She appears very tired and has a temperature of 39 C.[doi.org]

  • Chronic Active Hepatitis B

    Bone marrow biopsy showed hypocellularity, histiocytic hyperplasia, and hemophagocytosis consistent with a virus-associated hemophagocytic syndrome (VAHS).[ncbi.nlm.nih.gov] pain WHO fact sheet of hepatitis Viral Hepatitis at the Centers for Disease Control[en.wikipedia.org] Transient side effects of malaise and influenza like symptoms occurred in all patients and resolved rapidly after treatment.[ncbi.nlm.nih.gov]

  • Erythema Infectiosum

    Virus-associated hemophagocytic syndrome.[cmr.asm.org] The following are most likely observed: Fever, headache, coryza, abdominal pain, sore throat and malaise on the first week.[nursingcrib.com] Typical initial manifestations are nonspecific flu-like symptoms (eg, low-grade fever, slight malaise).[merckmanuals.com]

  • Chronic Active Hepatitis

    Bone marrow biopsy showed hypocellularity, histiocytic hyperplasia, and hemophagocytosis consistent with a virus-associated hemophagocytic syndrome (VAHS).[ncbi.nlm.nih.gov] Chills Clay-colored stools Darkened urine Fever Jaundice (yellowing of the skin and eyes) Nausea Pain below the shoulder blade Right upper quadrant or middle abdominal pain[verywellhealth.com] A 56-year-old Saudi male was admitted with abnormal liver chemistry values and a 5-month history of lethargy, malaise, anorexia, and jaundice.[ncbi.nlm.nih.gov]

  • Drug Hypersensitivity

    […] of Epstein-Barr Virus and/or Cytomegalovirus Leading to Hemophagocytic Syndrome in One of Two Patients, Annals of Dermatology, 30, 1, (71), (2018).[doi.org] A pearl is patients may present with only recurrent episodes of abdominal pain with GI distress (n/v/d) secondary to gut edema.[imrespdx.com] The most common presentations in patients with DHS are fever, which ranges from 38 C to 40 C and occurs in 85% of cases, malaise, pharyngitis, and cervical lymphadenopathy[mdedge.com]

  • Viral Pneumonia

    Virus-associated hemophagocytic syndrome may play an important role in development of multiorgan failure and ensuing death in H1N1 infection. [28] For more information on[emedicine.com] Children with pneumonia may complain of chest pain or abdominal pain, and they often wheeze or make a grunt when they breathe.[hon.ch] Presentation Pearls Diagnosis Treatment Media Patient will present as a 45-year-old male with a one week history of hacking non-productive cough, low grade fever, malaise[smartypance.com]

  • Autoimmune Hepatitis

    Virus-, drug- and lymphoma-associated hemophagocytic syndrome (HPS) was ruled out. Therefore, the patient was diagnosed with autoimmune-associated HPS (AAHS).[ncbi.nlm.nih.gov] Common initial symptoms include fatigue or muscle aches or signs of acute liver inflammation including fever, jaundice, and right upper quadrant abdominal pain.[en.wikipedia.org] It starts with acute symptoms in 30% of the cases with jaundice, fever, malaise, liver tenderness, like an acute viral hepatitis.[meddean.luc.edu]

  • Hepatitis A

    hemophagocytic syndrome [3].[ncbi.nlm.nih.gov] Infectious hepatitis A case of jaundice caused by hepatitis A Specialty Infectious disease, gastroenterology Symptoms Nausea, vomiting, diarrhea, dark urine, jaundice, fever, abdominal[en.wikipedia.org] A 25-year-old Japanese man was admitted with general malaise and fever, which had developed 12 days after coming back to Japan from Indonesia.[ncbi.nlm.nih.gov]

  • Castleman Disease

    […] lymphoma; HLH-MAS, hemophagocytic lymphohistiocytosis- macrophage activation syndrome; IgG4, IgG4-related disease; JIA, juvenile idiopathic arthritis; M-HLH, malignancy-associated[doi.org] We report a 66-year-old man who presented with complaints of abdominal pain.[acgcasereports.gi.org] The patient was initially treated with antiretroviral therapy with a combination of elvitegravir, cobicistat, emtricitabine and tenofovir that improved her fatigue and malaise[ncbi.nlm.nih.gov]

  • Sickle Cell Disease

    pain 2 weeks later and subsequently tested positive for Plasmodium falciparum.[ncbi.nlm.nih.gov] Pain may be accompanied by fever, malaise, and leukocytosis. Bone pain is often due to bone marrow infarction.[emedicine.medscape.com] Common side effects of Endari include constipation, nausea, headache, abdominal pain, cough, pain in the extremities, back pain and chest pain.[fda.gov]

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