In March, 2009, a previously healthy 22-year-old woman presented with clinical features of acute bacterial gastroenteritis after returning from India. Shigella sonnei was isolated from a stool sample. Despite appropriate antibiotic treatment with ciprofioxacin, she continued to have diarrhoea and fluctuating fever. In September, 2009, she was seen by an infectious disease specialist, who did laboratory investigations that excluded infectious disease. 3 months later, she presented to our emergency department complaining of abdominal pain for 3 days. On examination, she was febrile (39-4degC) and had a palpable.mass associated with right upper quadrant pain. She had no weight loss. Her C-reactive protein was 145 mg/L (normal <5 mg/L), procalcitonin (PCT) 43 ug/L (<()? 5 ug/L), white blood cell count 10-7x109 per L, aspar-tate aminotransferase (AST) 66 IU/L, alanine amino-transferase (ALT) 85 IU/L and alpha-fetoprotein 9 ug/L (<5 ug/L).
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机译：2009年3月，一名先前健康的22岁妇女从印度回来后表现出急性细菌性肠胃炎的临床特征。从粪便样品中分离到了志贺氏菌。尽管使用环丙沙星进行了适当的抗生素治疗，她仍然腹泻和发烧波动。 2009年9月，她被一名传染病专科医生见过，该专科医生进行了排除传染病的实验室调查。 3个月后，她向我们的急诊科求诊，抱怨腹痛3天。经检查，她发烧（39-4℃），并有明显的肿块伴有右上腹疼痛。她没有减肥。她的C反应蛋白为145 mg / L（正常<5 mg / L），降钙素原（PCT）43 ug / L（<（）？5 ug / L），白细胞计数为每L 10-7x109，天冬氨酸tate氨基转移酶（AST）66 IU / L，丙氨酸氨基转移酶（ALT）85 IU / L和甲胎蛋白9 ug / L（<5 ug / L）。
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