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24th July 2024
A 34-year-old gentleman presents to A&E following a recent urinary tract infection (UTI)
A 34-year-old gentleman presents to A&E following a recent urinary tract infection (UTI) where he was prescribed a course of nitrofurantoin. After starting the antibiotics, he reported feeling more fatigued and short of breath. He has no known past medical history and takes no regular medications from his GP.
Bloods on admission:
| Hb (130 – 180 g/L) | 82 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 11.3 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 245 x10⁹/L |
| Bilirubin (<21 μmol/L) | 62 umol/L |
| ALT (<41 U/L) | 43 U/L |
| ALP (30–130 U/L) | 88 U/L |
Abbreviations: ALT (alanine transaminase), ALP (alkaline phosphatase)
What is the most likely underlying cause of this patient’s symptoms?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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