alexa Fulminant Hepatic Failure Resulting from Coexistent Wil
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Fulminant Hepatic Failure Resulting from Coexistent Wilson’s Disease, Hepatitis E and Herbal Medication: A Case Report

Baliga Kiran*, Pradyum Ram, Baliga BS , Rajesh SM and Kini Prashant
Department of Pediatrics, KMC Mangalore, Manipal University, India
Corresponding Author : Kiran N Baliga
Department of Pediatrics, KMC, Mangalore, India
Tel: 0824 242 2271
E-mail: [email protected]
Received February 19, 2015; Accepted April 19, 2015; Published April 22, 2015
Citation: Kiran B, Ram P, Baliga BS, Rajesh SM, Prashant K (2015) Fulminant Hepatic Failure Resulting from Coexistent Wilson’s Disease, Hepatitis E and Herbal Medication: A Case Report. J Clin Case Rep 5:526. doi:10.4172/2165-7920.1000526
Copyright: © 2015 Kiran B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Infection with hepatitis A virus can cause severe or even fatal illness in patients with chronic liver disease. Here we describe a ten-year-old girl who presented as acute liver failure and was diagnosed with Wilson’s disease and later with coexistent hepatitis E infection. Wilson’s disease was demonstrated on the basis of Kayser Fischer ring, low ceruloplasmin, and high urinary copper excretion. Hepatitis E was diagnosed serologically with a positive anti HEV IgM titers. Our case suggests that acute hepatitis E may play a part in the acute decompensation seen in some cases of unrecognized Wilson’s disease. The patient gradually deteriorated and died in a period of 3 months.

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