TY - JOUR
T1 - Lethal biliary congestive acute hepatitis e without acute liver failure
T2 - A case report
AU - Yamauchi, Nao
AU - Yasunaka, Tetsuya
AU - Takaki, Akinobu
AU - Hinami, Yoshimune
AU - Kinomura, Masaru
AU - Kawahara, Akina
AU - Adachi, Takuya
AU - Oyama, Atsushi
AU - Wada, Nozomu
AU - Takeuchi, Yasuto
AU - Onishi, Hideki
AU - Shiraha, Hidenori
AU - Okada, Hiroyuki
N1 - Publisher Copyright:
© 2021 The Japan Society of Hepatology.
PY - 2021
Y1 - 2021
N2 - A 64-year-old man in whom benign hyperbilirubinemia had been identified was found to suffer from acute hepatitis E. Laboratory examination of the patient revealed high transaminase levels and hyperbilirubinemia, suggesting acute hepatitis, while the prothrombin time was within the normal range. The transaminase levels decreased and prothrombin time remained within the normal range; however, hyperbilirubinemia worsened to 39 mg/dl. The patient developed the complications of acute renal failure and sepsis, and eventually died. An autopsy was performed that showed no liver atrophy, liver fibrosis progression, or massive necrosis. The lung and kidney were revealed to be positive for fungal infection. The kidney was revealed to exhibit tubular conges-tion with bile. The present case offers information on the clinical course of acute hepatitis E in relatively elderly patients.
AB - A 64-year-old man in whom benign hyperbilirubinemia had been identified was found to suffer from acute hepatitis E. Laboratory examination of the patient revealed high transaminase levels and hyperbilirubinemia, suggesting acute hepatitis, while the prothrombin time was within the normal range. The transaminase levels decreased and prothrombin time remained within the normal range; however, hyperbilirubinemia worsened to 39 mg/dl. The patient developed the complications of acute renal failure and sepsis, and eventually died. An autopsy was performed that showed no liver atrophy, liver fibrosis progression, or massive necrosis. The lung and kidney were revealed to be positive for fungal infection. The kidney was revealed to exhibit tubular conges-tion with bile. The present case offers information on the clinical course of acute hepatitis E in relatively elderly patients.
KW - Acute hepatitis
KW - Acute liver failure
KW - Constitutional jaundice
KW - Hepatitis E jaundice
UR - http://www.scopus.com/inward/record.url?scp=85112372884&partnerID=8YFLogxK
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U2 - 10.2957/kanzo.62.463
DO - 10.2957/kanzo.62.463
M3 - Article
AN - SCOPUS:85112372884
SN - 0451-4203
VL - 62
SP - 463
EP - 470
JO - Acta Hepatologica Japonica
JF - Acta Hepatologica Japonica
IS - 8
ER -
