Pediatric Infection Presenting with Acute Cholestatic Hepatitis and Other Extrapulmonary Manifestations in the Absence of Pneumonia.

infections mainly involve respiratory tract; however, also can manifestate other symptoms by site involved. Extrapulmonary manifestations of infection are rarely known to occur without pneumonia. Herein we report a case of a 9-year-old boy who presented with acute cholestatic hepatitis in the absence of pneumonia. Rhabdomyolysis, skin rash, and initial laboratory results suspicious of disseminated intravascular coagulopathy were also observed in this patient. infection was identified by a 4-fold increase in immunoglobulin G antibodies to between acute and convalescent sera by enzyme-linked immunosorbent assay. This is the first pediatric case in Korea of infection presenting with acute cholestatic hepatitis in the absence of pneumonia.