PubMed · 3522344
Tularemic hepatitis presenting as obstructive jaundice.
Abstract
A 56-yr-old man was admitted for evaluation of fever, chills, jaundice, and alcoholic stools. Laboratory studies suggested a cholestatic process. Ultrasonography, computed tomography, and transhepatic cholangiography failed to reveal any abnormalities. Acute infection with Francisella tularensis was confirmed serologically, and a liver biopsy revealed cholestatic hepatitis with focal coagulative necrosis. Recovery was coincident with antibiotic therapy.
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T J Ortego, L F Hutchins, J Rice, G R Davis. 1986. Tularemic hepatitis presenting as obstructive jaundice.. https://doi.org/10.1016/0016-5085(86)90583-4
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