A 47-Year-Old Woman from Thailand with Worsening Dyspnea
- DOI:
- 10.1093/med/9780199735006.003.0034
Case 7d: A 47-year-old woman from Thailand, with a history 14 years prior to admission of orthotopic liver transplant for autoimmune hepatitis, presented with fevers, abdominal pain, diarrhea, and dry cough for 5 days. She had recently been admitted with jaundice, increasing liver transaminases, hyperbilirubinemia (14 mg/dl), and her liver biopsy showed chronic evolving graft rejection. She was born in Thailand but had lived in the United States for 20 years, and denied any recent travel, illicit drug use, animal contact, or contact with patients with tuberculosis. Her tuberculin skin test was negative less than one year ago.
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