ABSTRACT

A 75-year-old man was admitted to hospital with community-acquired pneumonia. Whilst he was in hospital, he was transferred to an elderly care ward, where his regular medications were reviewed – several drugs were stopped but he also commenced new drugs. Six days into his hospital admission, the patient developed jaundice and abdominal pain. His blood showed abnormal liver function (see below). An abdominal ultrasound scan was unremarkable and you are asked to review his medications to establish whether he could have a drug-induced liver injury.