title: Cephalexin induced cholestatic jaundice.
abstract: Cephalexin is a very commonly prescribed orally administered antibiotic which has many potential side effects. Amongst these cholestatic jaundice has been infrequently reported as an adverse reaction. We present a case of a 57-year-old male who exhibited features of cholestatic jaundice including elevated liver function tests (LFTs) after taking cephalexin and showed improvement on removal of the offending agent. During this time he was symptomatically treated with cholestyramine. Complete resolution of LFTs was seen in four weeks. Cephalexin induced cholestasis is rare and hence requires a high degree of clinical suspicion for prompt diagnosis and treatment.
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Abhinav
authors.identifier: 0000-0003-1080-6449
authors.initials: A
authors.lastname: Agrawal
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Mana
authors.identifier: 0000-0002-2516-2079
authors.initials: M
authors.lastname: Rao
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Sarfaraz
authors.initials: S
authors.lastname: Jasdanwala
authors.affiliation: Section of Infectious Diseases, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Ajay
authors.initials: A
authors.lastname: Mathur
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Eng