A Case of Multiple Organ Failure Complicating Hepatitis A Virus Superinfection in a Chronic Hepatitis B Patient.
- Author:
Han Kyeol YUN
1
;
Nha Young KIM
;
Ja Seon KIM
;
Ki Jong LEE
;
Jae Woo YEON
;
So Ya PAIK
;
Young Min PARK
Author Information
1. Department of Internal Medicine, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
Hepatitis A;
Hepatitis B;
Multiple organ failure
- MeSH:
Acute Kidney Injury;
Hepatitis;
Hepatitis A;
Hepatitis A virus;
Hepatitis B;
Hepatitis B, Chronic;
Hepatitis, Chronic;
Humans;
Korea;
Liver Diseases;
Multiple Organ Failure;
Pancreatitis;
Prevalence;
Renal Replacement Therapy;
Superinfection;
Young Adult
- From:Korean Journal of Medicine
2011;80(Suppl 2):S111-S116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatitis A virus is a major cause of viral hepatitis worldwide. The prevalence of hepatitis A in young adults has recently been increasing in Korea. Hepatitis A infection rarely complicates fulminant hepatitis, acute pancreatitis, and acute renal failure. We experienced a case of multiple organ failure involving fulminant hepatitis, acute pancreatitis, and acute renal failure complicating a hepatitis A superinfection in a chronic hepatitis B patient. The patient was a 38 year old man who presented with febrile sense and myalgia. He was initially alert, but became confused and developed acute renal failure and acute pancreatitis. He received continuous renal replacement therapy and conservative treatment and completely recovered from the multiple organ failure. It is important to consider a variety of potential complications in hepatitis A patients, especially in those with underlying chronic liver disease.
