id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-301216-a0rkpez7	Perez, Adriana	Presentation of SARS-CoV-2 Infection As Cholestatic Jaundice in Two Healthy Adolescents	2020-07-23		.txt	text/plain	1667	117	49	Liver abnormalities in severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection, including hepatitis and cholestasis, have been observed in adults and is associated with worse outcomes. As of June 25, 2020, the coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) resulted in >9.4 million confirmed cases worldwide and > 482,000 deaths worldwide, including > 2.3 million cases and > 121,000 deaths reported in the US, among which were 84 pediatric deaths in persons < 24 years of age by June 13 2020. The incidence of liver injury in adult patients with COVID-19 has been ranges from 14.8% -53%(, being more significant in severe cases and ranging up to 78% among fatal cases.(10) Liver abnormalities described included elevation of serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST), mildly elevated bilirubin levels, high gamma-glutamyl transferase (GGT) and low albumin levels (2.6-3.3 g/L) (10, 11) . We present two cases of acute hepatitis with clinically apparent jaundice and cholestasis without biliary obstruction associated with SARS-CoV-2 infection.	./cache/cord-301216-a0rkpez7.txt	./txt/cord-301216-a0rkpez7.txt