We report on a 43-year-old female diabetic patient who was treated wit
h ceftibuten because of Pseudomonas aeruginosa induced otitis externa.
Thereafter she developed a prolonged seven-months-persisting irrevers
ible cholestasis. Liver puncutre revealed a canalicular and hepatocell
ular cholestasis without liver cell necrosis or bile duct injury. Afte
r seven-months the patient died because of antibiotic-resistant Pseudo
monas-septicemia.