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10 Possible Causes for Hepatomegaly, Patient Appears Acutely Ill, Positive STD Test

  • Hepatitis B

    During the incubation period and during the acute phase of the illness, surface antigen-antibody complexes may be found in the sera of some patients.[] The antigen persists during the acute illness and usually clears from the circulation during convalescence.[] The surface antigen appears in the sera of most patients during the incubation period, 2–8 weeks before biochemical evidence of liver damage or onset of jaundice.[]

  • Hepatitis A

    The child was deeply icteric and had hepatomegaly. IgM antibodies for hepatitis A virus were positive.[] The hepatomegaly continues for another 2-12 weeks and thereafter the liver regains its normal function. Hepatitis A is best diagnosed serologically.[] Common examination findings are hepatomegaly and clinical jaundice with marked elevation of serum transaminases (usually 1000 units/L).[]

  • Primary HIV Infection

    Hepatomegaly and splenomegaly may not be useful predictors of HIV infection in a population in which malaria is prevalent.[] In the emergency department, the patient appeared acutely ill, was febrile, tachycardic, hypotensive, and slow to respond to commands.[] […] infections in 3,789 people tested; 8% of those with HIV infection were acutely infected (antibody findings negative, antigen findings positive).[]

  • Hepatitis G

    The physical examination presents fever, pallor whereas bleeding, hepatomegaly, Splenomegaly and bruising were absent, abdominal ultrasonography confirmed the absence of hepatomegaly[] Logistic regression was used to estimate the OR for a positive HGV/GBV-C test result associated with STD exposure, after adjustment for confounding variables.[] Specifically, the χ 2 test was used to compare the distributions of the various combinations of other positive test results that co-occurred with HGV/GBV-C PCR–positive results[]

  • Meningovascular Syphilis

    Hepatomegaly and skeletal abnormalities are also common. Nearly half of untreated children with neonatal syphilis will develop late manifestations.[] Tests for STD showed positive VDRL, TPHA and anti-HIV result.[] A positive serologic test for syphilis is the only evidence of infection during latent syphilis.[]

  • Syphilitic Meningitis

    Presence of hydrops, hepatomegaly, ascites, or thickened placenta among other signs suggest a higher risk of fetal treatment failure.[] Providers should consider screening patients with syphilis for other STDs, based on risk.[] Positive Titers in Patients Previously Treated for Syphilis Although patients with early syphilis usually have a fourfold or greater decline in nontreponemal titer within[]

  • Acute Pelvic Inflammatory Disease

    […] component is also possible, with increased levels of CHSP-60 found in cases of perihepatitis. 126 The physical findings consist of moderate-to-severe liver tenderness without hepatomegaly[] Even HIV may not show up as a positive blood test for up to 6 months following exposure and infection.[] Remember that many STDs such as genital herpes, HPV, chlamydia and even many cases of gonorrhea do not cause symptoms.[]

  • Chlamydophila Pneumoniae

    Other complications include carditis, hepatomegaly and splenomegaly (Figure 10). D. Laboratory diagnosis Laboratory diagnosis is based on a serological tests.[] No studies have confirmed this connection to date, but many patients afflicted with MS have tested positive for chlamydia in their spinal fluid.[] It is essential to understand that C. pneumoniae is not a sexually transmitted disease, and thus there is no connection between STDs and either artherosclerosis, or multiple[]

  • Acquired Immunodeficiency Syndrome

    Hepatomegaly and/or splenomegaly was noted among 26% of patients.[] Signs and symptoms consistent with acute HCV infection appeared eight months after exposure, suggesting an unusually long incubation period.[] To get tested for HIV or other STDs, find a testing site near you.[]

  • Acute HIV infection

    […] additional evaluation and treatment needs See, for instance, Medscape: Cutaneous Manifestations of HCV Clinical Presentation Liver size by palpation or auscultation for hepatomegaly[] In the emergency department, the patient appeared acutely ill, was febrile, tachycardic, hypotensive, and slow to respond to commands.[] Follow-up Confirmatory Testing Patients were notified of their result by North Carolina Department of Health and Human Services HIV/STD Prevention and Care Branch disease[]

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