Multiple emboli in hydatid disease.

had similar symptoms five days previously without systemic upset and had not required admission to hospital. On examination she had a temperature of 39°C, a tachycardia, and minimal abdominal tenderness with active bowel sounds. Haematological and biochemical investigations gave normal results. The ratio of T4 to T8 cells was normal at 2-3 (reference range 1-0-2 5). Cefuroxime was started, desferrioxamine was stopped, and she was given intravenous fluid replacement. Twenty four hours later her temperature was normal. Her symptoms persisted for nine days, and faecal examination showed Cryptosporidium sp. Although spiramycin is effective in some cryptosporidium infections, this was not started as her condition was improving. Blood cultures, results of serological examination, and stool samples were negative for yersmla.