Fulminating herpes simplex hepatitis
ABSTRACT Herpes simplex virus (HSV) is a rare cause of acute hepatitis in patients with chronic immunosuppression, including Crohn’s disease. HSV hepatitis has the propensity to cause acute liver failure and death. The presenting signs and symptoms can be nonspecific, thereby causing the diagnosis to go overlooked with inadequate management, leading to a high mortality rate. We report a case of a 31-year-old male on chronic prednisone treatment for Crohn’s disease who unexpectedly died. Subsequently, an autopsy showed HSV hepatitis as the cause of death. Thus, although a rare complication, HSV hepatitis should always be kept in mind as a fatal complication in patients with acute hepatitis and chronic immunosuppression.
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Hospital Universitário da Universidade de São Paulo
2022
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oai:scielo:S2236-196020220001004092022-12-13Fulminating herpes simplex hepatitisAhmed,RaheelGreen,KesleyLitovsky,SilvioDiffalha,Sameer Al Herpes Simplex Virus Hepatitis Crohn’s Disease Prednisone ABSTRACT Herpes simplex virus (HSV) is a rare cause of acute hepatitis in patients with chronic immunosuppression, including Crohn’s disease. HSV hepatitis has the propensity to cause acute liver failure and death. The presenting signs and symptoms can be nonspecific, thereby causing the diagnosis to go overlooked with inadequate management, leading to a high mortality rate. We report a case of a 31-year-old male on chronic prednisone treatment for Crohn’s disease who unexpectedly died. Subsequently, an autopsy showed HSV hepatitis as the cause of death. Thus, although a rare complication, HSV hepatitis should always be kept in mind as a fatal complication in patients with acute hepatitis and chronic immunosuppression.info:eu-repo/semantics/openAccessHospital Universitário da Universidade de São PauloAutopsy and Case Reports v.12 20222022-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602022000100409en10.4322/acr.2021.410 |
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Ahmed,Raheel Green,Kesley Litovsky,Silvio Diffalha,Sameer Al |
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Ahmed,Raheel Green,Kesley Litovsky,Silvio Diffalha,Sameer Al Fulminating herpes simplex hepatitis |
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Ahmed,Raheel Green,Kesley Litovsky,Silvio Diffalha,Sameer Al |
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Ahmed,Raheel |
title |
Fulminating herpes simplex hepatitis |
title_short |
Fulminating herpes simplex hepatitis |
title_full |
Fulminating herpes simplex hepatitis |
title_fullStr |
Fulminating herpes simplex hepatitis |
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Fulminating herpes simplex hepatitis |
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fulminating herpes simplex hepatitis |
description |
ABSTRACT Herpes simplex virus (HSV) is a rare cause of acute hepatitis in patients with chronic immunosuppression, including Crohn’s disease. HSV hepatitis has the propensity to cause acute liver failure and death. The presenting signs and symptoms can be nonspecific, thereby causing the diagnosis to go overlooked with inadequate management, leading to a high mortality rate. We report a case of a 31-year-old male on chronic prednisone treatment for Crohn’s disease who unexpectedly died. Subsequently, an autopsy showed HSV hepatitis as the cause of death. Thus, although a rare complication, HSV hepatitis should always be kept in mind as a fatal complication in patients with acute hepatitis and chronic immunosuppression. |
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Hospital Universitário da Universidade de São Paulo |
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2022 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602022000100409 |
work_keys_str_mv |
AT ahmedraheel fulminatingherpessimplexhepatitis AT greenkesley fulminatingherpessimplexhepatitis AT litovskysilvio fulminatingherpessimplexhepatitis AT diffalhasameeral fulminatingherpessimplexhepatitis |
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