The Pitfalls of Febrile Jaundice. A Case Report
Jaundice in sepsis is usually caused by cholestasis, and its onset can precede other manifestations of the infection. Inflammation-induced cholestasis is a common complication in patients with an extrahepatic infection or those with inflammatory processes. We describe the case of a 47 years old fema...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2016-04-01
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| Series: | The Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/jccm-2016-0013 |
| _version_ | 1797421726432231424 |
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| author | Obreja Maria Teodor Andra Leca Daniela Ceasovschih Alexandr Miftode Egidia |
| author_facet | Obreja Maria Teodor Andra Leca Daniela Ceasovschih Alexandr Miftode Egidia |
| author_sort | Obreja Maria |
| collection | DOAJ |
| description | Jaundice in sepsis is usually caused by cholestasis, and its onset can precede other manifestations of the infection. Inflammation-induced cholestasis is a common complication in patients with an extrahepatic infection or those with inflammatory processes. We describe the case of a 47 years old female who presented with low back pain and paravertebral muscular contracture. She subsequently developed a cholestatic syndrome with clinical manifestations such as jaundice, followed by fever and sepsis with multiple organ dysfunction. Initially labeled as biliary sepsis, the diagnosis was crucially reoriented as the blood cultures were positive for Streptococcus pyogenes and the magnetic resonance imaging (MRI) findings suggested spondylodiscitis as well as a paravertebral abscess. |
| first_indexed | 2024-03-09T07:21:36Z |
| format | Article |
| id | doaj.art-18338e232cfb4a7983753bfb6867c431 |
| institution | Directory Open Access Journal |
| issn | 2393-1817 |
| language | English |
| last_indexed | 2024-03-09T07:21:36Z |
| publishDate | 2016-04-01 |
| publisher | Sciendo |
| record_format | Article |
| series | The Journal of Critical Care Medicine |
| spelling | doaj.art-18338e232cfb4a7983753bfb6867c4312023-12-03T07:16:48ZengSciendoThe Journal of Critical Care Medicine2393-18172016-04-0122939510.1515/jccm-2016-0013jccm-2016-0013The Pitfalls of Febrile Jaundice. A Case ReportObreja Maria0Teodor AndraLeca DanielaCeasovschih Alexandr1Miftode Egidia “Sfânta Parascheva” Infectious Diseases Hospital Iași, România Department of Medicine, “Sfântul Spiridon” Emergency Clinical Hospital, Iași, RomâniaJaundice in sepsis is usually caused by cholestasis, and its onset can precede other manifestations of the infection. Inflammation-induced cholestasis is a common complication in patients with an extrahepatic infection or those with inflammatory processes. We describe the case of a 47 years old female who presented with low back pain and paravertebral muscular contracture. She subsequently developed a cholestatic syndrome with clinical manifestations such as jaundice, followed by fever and sepsis with multiple organ dysfunction. Initially labeled as biliary sepsis, the diagnosis was crucially reoriented as the blood cultures were positive for Streptococcus pyogenes and the magnetic resonance imaging (MRI) findings suggested spondylodiscitis as well as a paravertebral abscess.https://doi.org/10.1515/jccm-2016-0013lower back painjaundicefeverblood culturess.pyogenessepsis |
| spellingShingle | Obreja Maria Teodor Andra Leca Daniela Ceasovschih Alexandr Miftode Egidia The Pitfalls of Febrile Jaundice. A Case Report The Journal of Critical Care Medicine lower back pain jaundice fever blood cultures s.pyogenes sepsis |
| title | The Pitfalls of Febrile Jaundice. A Case Report |
| title_full | The Pitfalls of Febrile Jaundice. A Case Report |
| title_fullStr | The Pitfalls of Febrile Jaundice. A Case Report |
| title_full_unstemmed | The Pitfalls of Febrile Jaundice. A Case Report |
| title_short | The Pitfalls of Febrile Jaundice. A Case Report |
| title_sort | pitfalls of febrile jaundice a case report |
| topic | lower back pain jaundice fever blood cultures s.pyogenes sepsis |
| url | https://doi.org/10.1515/jccm-2016-0013 |
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