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  • Hospitalized high fever, Elevated liver enzymes, AMA positive, PBC diagnosed

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    Old 12-26-2013, 09:29 AM   #1
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    Hospitalized high fever, Elevated liver enzymes, AMA positive, PBC diagnosed

    Early Nov I was hospitalized for high fever and the worst headache I ever had. I had head pain for week prior to admission. Temps ranged from 101 to 104 and 106. Chills, sweating, nausea, fatigue and confusion. Potassium low, white blood count low, liver enzymes high, cardiac troponins were elevated.

    Tests included a spinal tap, MRI and CT- Scan of head and various workups. I was treated with antibiotic Vancomycin. 1 week in hospital.

    Since release saw GP and GI Dr's. Nurse called said positive AMA's and PBC - Dr will discuss with me on return visit in 2 weeks. GP sent letter stating increased ALP, low sodium - I am to return to clinic lab in one month to repeat CBC and a CMP.

    Recent symptoms include: Pain which comes and goes, sometimes waking me - head, neck and shoulder pain and crepitus (cracking sounds), oily light colored stools, bloating, decrease in urine, pain on rt side, radiates to back and upper abdomen, pain in upper abdomen, pain in lower right abdomen and memory loss. Low grade fever comes and goes.

    In 2012 I was diagnosed with lack of pancreas enzymes prescribed Creon DR. EGD dilated esophagus; diagnosed with esophagitis, gastritis. Colonoscopy, removed polyps, diagnosed with diverticulosis.

    In 2010 diagnosed with CRPS in right foot and leg. Treatment included various meds. Nerve pain has subsided after recent hospitalization.

    In 2004 had gallbladder removed and appendix. This is when right upper quadrant pain began.

    Has anyone else experienced any of this? I was told, just recently, I had elevated liver enzymes for a while.

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    Old 12-26-2013, 10:37 AM   #2
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    Re: Hospitalized high fever, Elevated liver enzymes, AMA positive, PBC diagnosed

    I'm not a doctor but your symptoms seem to indicate pancreatitis/pancreas problems. I'm feel sure that the doctor performed blood test to check if your amylase and lipase levels which would indicate either a pancreas problem or a duct problem. But the fever is what is alarming. You have an infection that does not seem to be going away.
    The liver enzymes seemed to have leveled out and could have been high from medicine you received while in the hospital. I would make sure you continue seeing a digestive doctor for proper care. Perhaps, at worse, it is no more than blockage and can be relieved with an ERCP procedure but if your fever rises I would seek medical help ASAP. Good luck and perhaps others may have more information than I can give.

    Old 12-27-2013, 04:10 PM   #3
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    Re: Hospitalized high fever, Elevated liver enzymes, AMA positive, PBC diagnosed

    I've become so frightened of the medical world. I went to 4 different hospitals for tests of all kinds. I was hospitalized for a week. They told me that my abdominal pain couldn't possible be gall bladder related, and they couldn't explain why I couldn't eat and was in constant pain. Finally, my primary care doctor ordered a HIDA scan, and my gall bladder was not functioning at all. I had my gall bladder removed, and I have been okay since. I just don't understand why 6 specialists couldn't come up with a simple diagnosis in 4 months. Since then, I've become suspicious that once you start getting passed around by specialists, they all want to run their own tests rather than diagnose. Sorry I can't be more positive, but I will pray for you.

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    ama, fatigue, fever, liver, pbc

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