Take our new Case Challenge!

Posted by Jennifer Zeis • January 30th, 2014

In our latest Case Challenge, a 59-year-old-man was admitted because of fever, confusion, rash, thrombocytopenia, and renal failure.  He had been well until 3 days before admission, when flu-like symptoms developed while he was traveling.  The patient’s hematocrit and white-cell count were normal, the platelet count was decreased, and the percentage of band forms was elevated.  A chest radiograph was normal, but results of tests of renal and liver function were elevated, and testing for occult blood in the stool was positive.  What is the most likely diagnosis?

Read the rest of the case and submit your diagnosis via our online poll.  On Wednesday, February 12, results will be posted with the latest Case Record of the Massachusetts General Hospital on NEJM.org.

159 Responses to “Take our new Case Challenge!”

  1. Alfonso Martinez perez says:

    El diagnostico es una encefalopatia hepatica secundario a una colangitis

  2. dr. aisha arif says:

    Most probable diagnosis is thrombotic thrombocytopenic purpura TTP.

  3. satyasrinivas says:

    poosibility hanta virus infection

  4. naw says:

    Kala azar?

  5. Ala' Hawa says:

    HUS :)

  6. Hoang says:

    Septic shock

  7. germanosorio says:

    Virus del dengue- Dengue hemorragico

Leave a Reply

Please note: Comment moderation is enabled and may delay your comment. There is no need to resubmit your comment.

Submitting a comment indicates you have read and agreed to the Terms and Conditions.