Sudden chills, fever and vomiting, CAT shows normal gall bladder, elevated liver enzymes. Causes ?
Patient: Hello Dr. Grief.  My husband has been suffering from sudden chills, fever & vomiting.   Physician thought it was probably gall bladder (stones) but after a cat scan and sonogram showed the gallbladder was fine.  However, the liver enzymes are elevated so Monday he is being referred to a gastroenterologist. Are you willing to give it a shot as to what the problem could be? Doctor: Hi,Thanks for using Healthcaremagic,Your husband is having fever with chills and vomiting, this is good his CAT scan and ultrasonography is normal.He has raised liver enzymes there are few common possibilities viral hepatitis, or other viral fever, other differential would be malaria, toxic injury to liver like due to alcohol or even few drugs?He needs clinical examination along with history to know the cause, Complete blood count, smear and antigen test for malaria, Urine analysis, history of alcohol intake and drugs. Treatment depends on cause.He must take rest and if fever is there tepid sponging can be done. He should be well hydrated and take light diet as tolerated.Hope this information helps.Take care.Good Luck.Dr.Akhilesh Dubey M.D.