Article Figures & Data
Figures
- Fig 1.
Postpartum imaging. a) Contrast-enhanced computed tomography suggesting hepatosplenomegaly. b) Positron emission tomography using F18 fluorodeoxyglucose showing no focal abnormal tracer uptake; bilateral lung and visualised bone marrow are unremarkable.
- Fig 2.
Timeline of changes in laboratory parameters from admission to discharge and follow-up at the end of 2 months (delivery was on day 3 of admission). TLC = total leukocyte count.
Tables
- Table 1.
Differential diagnosis of fever with gastrointestinal dysfunction during pregnancy
HLH (in this patient) Acute fatty liver HELLP syndrome Visceral leishmaniasis Miliary/abdominal tuberculosis Haemolytic anaemias Chronic hepatitis Lymphomas Fever Yes Yes, rarely No Yes Yes Yes, infrequent Yes Yes Abdominal pain Yes Yes Yes Yes Yes Yes, splenic infarct Yes Yes Vomiting Yes Yes Yes Yes Yes No Yes No Neurological symptoms No Yes Yes Yes, rarely Yes Yes Yes No Splenomegaly Yes No No Yes Yes Yes Yes Yes Hepatomegaly Yes No No Yes Yes No No Yes Liver dysfunction Yes Yes Yes No Yes, anti-tubercular medications Yes Yes Yes Coagulation abnormalities No Yes Yes No No No Yes Yes, in advanced stages Anaemia Yes Yes, haemolysis Yes, occasionally Yes Yes, infrequently Yes Yes Yes Thrombocytopenia Yes Yes Yes Yes Yes, infrequently Yes Yes Yes, rarely immune mediated Leukopenia Yes Yes, leukocytosis No No Yes, rarely, leukocytosis common No No Yes, leukocytosis more common than leukopenia High serum ferritin Yes No No No Yes, rarely Yes, rarely Yes, only in advanced cirrhosis Yes High serum triglyceride Yes Yes, infrequently, mainly hypercholesterolemia No No Yes, extremely rare No Yes, infrequently Yes, rarely Low serum fibrinogen Yes Yes Yes No Yes, rarely No Yes Yes, advanced stages HLH = haemophagocytic lymphohistiocytosis; HELLP = haemolysis, elevated liver enzymes and low platelets
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Fever, cough and gastrointestinal symptoms in a pregnant woman
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