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 Home | Publications | HealthViews Magazine | Archives & Downloads | Mar/Apr 2007 | Solving a Mystery

Solving a Mystery
When this Little Silver family man contracted an uncommon illness, his brother-in-law — one of Riverview’s finest — worked earnestly and expediently with his colleagues to discover the root cause.

Mike McGann and his family agreed to assist a relative move out of her longtime home. This seemed like a simple enough task. They had no idea that the project would result in a mysterious illness with serious consequences.

A Good Deed Gone Bad
When their relative decided to move into an active-adult community, the entire family pitched in to help clean out her old home. Mike, a father of three from Little Silver, worked with his wife and in-laws to sort through and remove years’ worth of memorabilia throughout the house.

One of the biggest tasks was to clear the cellar, which contained boxes filled with magazines, bottles, and other items that hadn’t been disturbed in quite some time. Even though Mike noticed some rodent droppings, he paid no attention to them and continued with the task at hand. After all, it was an old basement, and there were bound to be some critters. At one point, the family took a break to have some sandwiches for lunch, and then they quickly got back to work.

About a week later, Mike started experiencing a constant headache, fever, and visual sensitivity to light. He figured it was the flu and took some Tylenol. A few more days passed with the same symptoms, but once his urine turned dark brown, he knew he needed medical advice.

Mike called his brother-in-law, Joseph Clemente, M.D., who had also helped with the family project just weeks earlier. Dr. Clemente ran a blood test, which indicated that Mike’s liver enzymes were abnormal, so he immediately admitted him to Riverview Medical Center. Mike was shocked to learn that he had developed hepatitis and that his liver wasn’t functioning properly. However, the studies did not show any clear cause for his hepatitis.

Searching for Clues
From the onset of his illness, Mike knew he was in good hands. He and his family had used Riverview Medical Center on many occasions, and he had full faith in his brother-in-law, who holds four board certifications in the areas of internal medicine, geriatric medicine, critical care medicine, and cardiovascular disease. But this particular case was challenging because Mike’s condition was deteriorating with no obvious cause. Over the next several days, Dr. Clemente ran numerous tests and consulted with a variety of specialists.

Mike’s team of experts was stumped, running through a battery of questions with him and his wife. When asked if he had come in contact with rodents, he mentioned seeing droppings in the cellar. Mike’s wife said, "Please tell me you washed your hands before we ate those sandwiches." He had not, and it led the doctors in a new direction. They soon determined that he had a disease called leptospirosis.

With the diagnosis finally made, Dr. Clemente ordered a treatment of intravenous penicillin, and Mike began a swift recovery. His liver enzymes returned to normal, and he was able to go home for a full recovery.

Basic Prevention Goes a Long Way
Leptospirosis is an infectious disease that affects humans and animals. Early detection is important because it can cause serious complications such as kidney damage, meningitis, respiratory distress, or liver failure. When Mike came into contact with the rodent droppings/urine, he unknowingly transmitted the disease by handling food.

"Washing your hands is the single most effective way to prevent the spread of germs," says Dr. Clemente. "This simple process can help prevent the spread of infection, whether it be a common cold or an unusual disease such as leptospirosis. It was an important reminder for our entire family."

Donna Sellmann– Donna Sellmann

About The Doctor
Picture Available Clemente, Joseph, M.D.
Board certified in Internal Medicine
Middletown, NJ  07748
(732) 615-3900

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