Case 10

A female patient,19 years old, 8 months ago she developed fever, cough and diarrhea. She sought medical advice repeatedly without improvement.

Two months ago the symptoms became intensified with development of nausea, vomiting and tenesmus.

Examination:

Very bad general condition, marked generalized weight loss and distended abdomen.

  

    

 

What is the possible diagnosis?

 

 

 

Answer

 

Answer