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The erroneous perception of a clinical sign: Cholestasis preceding sepsis mimicking hepatitis in an adolescent patient |
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| Authors: | Fabrizio Romano Marisa Molinaro Susanne Schibli Philipp KA Agyeman Ruth Mari Lllgen |
| Institution: | 1. Pediatric Emergency Department, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern Switzerland ; 2. Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern Switzerland ; 3. Pediatric Emergency Department, Astrid Lindgren Children''s Hospital, Karolinska University Hospital, Stockholm Sweden ; 4. Karolinska Institutet, Department of Women''s and Children''s Health, Stockholm Sweden |
| Abstract: | Jaundice should be considered as a first clinical sign preceding severe invasive bacterial infection or sepsis in patients of all ages including childhood and adolescence. Early laboratory investigations and MR imaging studies for osteomyelitis or myositis are paramount to avoid progression to life‐threatening sepsis and significant morbidity and mortality. |
| Keywords: | adolescents children emergency department jaundice sepsis |