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Erroneous perception of a clinical sign: Sepsis-induced cholestasis mimicking hepatitis in an adolescent patient
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  • Fabrizio Romano,
  • Marisa Molinaro,
  • Susanne Schibli,
  • Philipp Agyemann,
  • Ruth Löllgen
Fabrizio Romano
Inselspital University Hospital Bern
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Marisa Molinaro
Inselspital University Hospital Bern
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Susanne Schibli
Inselspital University Hospital Bern
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Philipp Agyemann
Inselspital University Hospital Bern
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Ruth Löllgen
Karolinska Universitetssjukhuset
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Abstract

Background: In children and adolescents, isolated cholestasis rarely is a first clinical sign of severe sepsis. Case: A previously healthy 14-year-old adolescent had severe S. aureus sepsis. Delayed diagnosis required a prolonged antimicrobial treatment. Conclusion: This unique case illustrates the importance of considering jaundice as an early sign of sepsis.

Peer review status:ACCEPTED

03 Apr 2021Submitted to Clinical Case Reports
04 Apr 2021Assigned to Editor
04 Apr 2021Submission Checks Completed
08 May 2021Reviewer(s) Assigned
30 May 2021Review(s) Completed, Editorial Evaluation Pending
16 Jun 2021Editorial Decision: Accept