Cholestatic Hepatitis Induced by Epstein-Barr Virus in Childhood
Bibliographic record
Abstract
Epstein-Barr virus (EBV) primary infection is a common disease in childhood, and in most cases it is self-limiting. But EBV-induced hepatitis with cholestasis in children is an extremely rare phenomenon. We presented a clinical case of a 5-year-old boy suffering from fatigue, fever, rash, swollen lymph node and darkening of the urine. A slight hepatomegaly and an insignificant icter were observed during the patient’s examination. The laboratory tests showed elevated transaminase levels, hyperbilirubinemia and elevated γ-glutamyl transpeptidase and alkaline phosphatase levels. The abdominal sonography showed moderate hepatomegaly. The EB immunoglobulin M (IgM) antibody test was positive; the serological tests for other kinds of viral hepatitis were negative. With this study, we emphasized the need to consider the EBV infection in the differential diagnosis of cholestatic hepatitis in childhood. Clin Infect Immun. 2020;5(1):4-6 doi: https://doi.org/10.14740/cii96
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".