Korean J Med.  2011 Jun;80(Suppl 2):S111-S116.

A Case of Multiple Organ Failure Complicating Hepatitis A Virus Superinfection in a Chronic Hepatitis B Patient

• Yun HK
• Kim NY
• Kim JS
• Lee KJ
• Yeon JW
• Paik SY
• Park YM

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.

Keyword

Hepatitis A; Hepatitis B; Multiple organ failure

MeSH Terms

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