Publications by authors named "Roy L Dennis"

Epstein-Barr virus (EBV) is one of the most common infections worldwide that presents with a multitude of symptoms such as lymphadenopathy, fever, and malaise and has associations with Hodgkin's lymphoma. EBV can cause elevations in transaminase values and hyperbilirubinemia; however, EBV will rarely cause hepatitis with cholestatic features. Here we report a case of a 15-year-old male with a past medical history of potential Gilbert's syndrome who presented with jaundice, scleral icterus, mild abdominal pain, and low-grade fever.

View Article and Find Full Text PDF
Article Synopsis
  • Spontaneous bacterial peritonitis (SBP) is a severe condition that can occur in patients with liver cirrhosis and fluid buildup (ascites), and this case report reveals an uncommon cause of SBP from loculated ascites.
  • The infection was caused by a rare bacterium, which can occur despite SBP usually being linked to more common pathogens.
  • The patient showed a positive response to treatment, with a significant improvement in symptoms and a resolution of bacterial growth in follow-up fluid cultures.
View Article and Find Full Text PDF

Secondary cold agglutinin autoimmune hemolytic anemia (AIHA) occurs most commonly due to infectious causes like and, more rarely, Epstein-Barr virus(EBV). Here we present a case of a 69-year-old female presenting with generalized weakness, who was found to have cold agglutinin hemolytic anemia. She unfortunately experienced some of the most severe complications of the disease including encephalopathy, hypoxia, and dry necrosis of peripheral extremities.

View Article and Find Full Text PDF