Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0023890 (cirrhosis)
 42,195 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Fifty consecutive patients with fever and cirrhosis were prospectively studied to assess if cirrhotic fever was a true clinical entity and to determine its characteristics and outcome. In 20% (10) of the 50 patients, an identifiable source of fever or infection, was not documented (these patients were defined as having cirrhotic fever). The patients with cirrhotic fever were significantly less toxic, as indicated by lower temperature (P = .0001), tachycardia (P = .0005), and tachypnea (P = .05), but had fever for a longer duration (P = .009) than did patients with infectious fever. Patients with cirrhotic fever were significantly less likely to have focal signs or symptoms (P < .0001) or a portal of infection confirmed by culture (P = .0001), as compared with patients with infectious fever. Outcome (at 30-days or long-term) was not different for patients with cirrhotic fever vs.-patients with infectious fever or matched controls who did not have fever. Eight (80%) of the 10 patients with cirrhotic fever underwent transplantation; fever did not recur after transplantation in any of these patients. Thus, fever in up to 20% of the febrile patients with cirrhosis may be attributable to cirrhosis itself; such patients may be spared the ongoing diagnostic maneuvers and unnecessary trials of antibiotics.
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PMID:Cirrhotic fever in the 1990s: a prospective study with clinical implications. 919 71

A 66-year-old woman with hepatitis C related liver cirrhosis presented to our hospital for dyspnoea and cyanosis. Tachypnoea, low grade fever, clubbed fingers, palmar erythaema, spider angioma, wheezing and severe hypoxaemia were found. Chronic obstructive pulmonary disease (COPD) with acute exacerbation was diagnosed and she recovered after bronchodilator and antibiotic treatment. However, dyspnoea and hypoxaemia recurred with widened alveolar-arterial gradient, which was unusual in COPD. A pulmonary function test showed moderate obstructive ventilatory defect and chest high resolution CT scan disclosed some dilated vessels over the left lower lung. Interestingly, platypnoea and orthodeoxia were observed, therefore hepatopulmonary syndrome was suspected and was confirmed by contrast echocardiography, lung perfusion scan and 100% oxygen administration. Her dyspnoea improved gradually after oxygen use. She was followed in our clinic for 3 years and her respiratory condition on home oxygen remained stable, as did the liver cirrhosis.
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PMID:Unusual dyspnoea in a patient with liver cirrhosis. 2168 87