A Mysterious Death
Presentation of Case A 32-year-old man presented with fever and pain in the right upper quadrant. The patient had been well until the day after a night of heavy alcohol consumption (12 pints of wine 1 , 2 ), when fatigue and generalized aches developed. The following evening, he consumed a similar q...
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| Published in: | The New England journal of medicine Vol. 338; no. 24; pp. 1764 - 1769 |
|---|---|
| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Boston, MA
Massachusetts Medical Society
11-06-1998
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| Abstract | Presentation of Case
A 32-year-old man presented with fever and pain in the right upper quadrant. The patient had been well until the day after a night of heavy alcohol consumption (12 pints of wine
1
,
2
), when fatigue and generalized aches developed. The following evening, he consumed a similar quantity of wine and had sharp pain in the right upper quadrant of such severity that he cried out.
3
The pain resolved quickly, but the area remained tender to palpation. He later had chills, sweats, and fever, which continued into the next day.
The patient bathed in cool water and . . . |
|---|---|
| AbstractList | Presentation of Case
A 32-year-old man presented with fever and pain in the right upper quadrant. The patient had been well until the day after a night of heavy alcohol consumption (12 pints of wine
1
,
2
), when fatigue and generalized aches developed. The following evening, he consumed a similar quantity of wine and had sharp pain in the right upper quadrant of such severity that he cried out.
3
The pain resolved quickly, but the area remained tender to palpation. He later had chills, sweats, and fever, which continued into the next day.
The patient bathed in cool water and . . . Oldach et al reexamine the death of Alexander the Great. The case is presented in generic terms, as if a recent case. It is postulated that a poisoning agent in the wine, such as arsenic, or an intestinal infection led to his death. |
| Author | Borza, Eugene N Oldach, David W Benitez, R. Michael Richard, Robert E |
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| Cites_doi | 10.1016/B978-0-444-80513-3.50011-6 10.1097/00005792-198307000-00003 10.1097/00007611-198002000-00021 10.1056/NEJM199511233332102 10.1097/00005792-195312000-00002 10.1016/0016-5085(86)90579-2 10.1021/ac60354a048 10.1080/00039896.1980.10667515 10.1097/00004836-199706000-00031 10.1086/366434 10.1159/000196026 10.1016/0002-9343(75)90255-7 10.1017/S0025727300019013 10.1111/j.1471-4159.1962.tb11853.x 10.1016/B978-0-444-80513-3.50010-4 10.1097/00007611-198501000-00013 |
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| Keywords | Human Nervous system diseases Motor system disorder Perforation Etiopathogenesis Gut Salmonella typhi Infection Case study Association Bacteriosis Digestive diseases Bacteria Intestinal disease Complication Enteritis Paralysis Enterobacteriaceae |
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| References | 9786760 - N Engl J Med. 1998 Oct 22;339(17):1248; author reply 1249 9786762 - N Engl J Med. 1998 Oct 22;339(17):1248-9 9786761 - N Engl J Med. 1998 Oct 22;339(17):1248; author reply 1249 r020 r022 r023 Waldron HA (r015) 1973; 17 r040 (r038) 1984; 18 r039 r019 r013 r014 r016 Bruce D (r030) 1888; 40 r010 r032 r012 Gilfillan SC (r017) 1965; 7 r006 r028 r007 Gerhardt RE (r018) 1980; 35 r029 r008 r009 r002 r024 r025 r004 r026 r005 r027 Borza EN (r034) 1979; 4 Beger HG (r011) 1986; 91 |
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| Snippet | Presentation of Case
A 32-year-old man presented with fever and pain in the right upper quadrant. The patient had been well until the day after a night of... Oldach et al reexamine the death of Alexander the Great. The case is presented in generic terms, as if a recent case. It is postulated that a poisoning agent... |
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| SubjectTerms | Alcoholic Intoxication - history Alexander the Great (356-323 BC) Arsenic Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Diagnosis, Differential Famous Persons Fatalities Greece, Ancient Grief History History, Ancient Human bacterial diseases Humans Infections Infectious diseases Intestinal Perforation - etiology Intestinal Perforation - history Male Medical research Medical sciences Typhoid Fever - complications Typhoid Fever - history Wine - adverse effects Wine - history Wines |
| Title | A Mysterious Death |
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