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e-Article

Hyperbilirubinemia in a Patient With Sepsis: A Diagnostic Challenge
Document Type
Academic Journal
Source
ACG Case Reports Journal. Jun 01, 2023 10(6):e01076-e01076
Subject
Language
English
ISSN
2326-3253
Abstract
ABSTRACT: Cholestasis due to sepsis is commonly seen in critically ill patients; however, it is often overlooked and poses a challenge in clinical diagnosis and management. In this report, we present a 29-year-old woman who presented to the emergency department with jaundice and symptoms of a urinary tract infection. Initially suspected to be Dubin-Johnson syndrome, sepsis-induced cholestasis was eventually diagnosed after testing. Sepsis should always be considered as part of the differential diagnosis while managing a patient with jaundice. The management of sepsis-induced cholestasis involves treating the underlying infection. In most cases, liver injury improves with the resolution of the infectious process.