[Case Report] Jaundice, abdominal pain, and fever in a young woman

A 23-year-old woman presented to the emergency department in December, 2016, with a 10-day history of vomiting, myalgia, and upper abdominal pain. 3 days before presentation she had seen her general practitioner who prescribed empirical clarithromycin, with no improvement in her symptoms, and 2 days later she developed jaundice and pruritus, prompting her attendance at our hospital. She had a history of ulcerative colitis with a pan-proctocolectomy and end ileostomy. She took no regular medication, rarely drank alcohol, and had no history of travel abroad or recent blood transfusions.

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