title: 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.
mesh_terms: D002758:Cholangiography; D002779:Cholestasis / Q000175:diagnosis* / Q000382:microbiology; D005604:Francisella tularensis; D006505:Hepatitis / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014406:Tularemia / Q000175:diagnosis* / Q000382:microbiology; D014463:Ultrasonography