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Gastroenterology. 1986 Aug;91(2):461-3.

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.

PMID:
3522344
DOI:
10.1016/0016-5085(86)90583-4
[Indexed for MEDLINE]

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