Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 47-1983. A 7 1/2-year-old girl with diarrhea and arthralgia.

Abstract

Presentation of CaseA 7 1/2-year-old girl was admitted to the hospital because of diarrhea and arthralgia.She was well until five months previously, when dysuria developed and evidence of a urinary-tract infection was found. Ampicillin was administered, with improvement. Sixteen weeks before admission ampicillin was discontinued. The patient was subsequently well until 10 weeks before entry, when she began to have midepigastric cramps, diarrhea, and a low-grade fever. During the next few weeks her stools increased in frequency to 10 to 12 daily; they were watery and dark green and often contained mucus. Two weeks after the onset of . . .