Tularemic hepatitis presenting as obstructive jaundice

Autor: Ortego, Terryl J., Hutchins, Laura F., Rice, Jim, Davis, Glenn R.
Zdroj: Gastroenterology; August 1986, Vol. 91 Issue: 2 p461-463, 3p
Abstrakt: A 56-yr-old man was admitted for evaluation of fever, chills, jaundice, and acholic stools. Laboratory studies suggested a cholestatic process. Ultrasonography, computed tomography, and transhepatic cholangiography failed to reveal any abnormalities. Acute infection with Francisella tularensiswas confirmed serologically, and a liver biopsy revealed cholestatic hepatitis with focal coagulative necrosis. Recovery was coincident with antibiotic therapy.
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