Jaundice in a Service member Returning From Taiwan; Diagnostic Challenges in a Case of Acute Hepatitis E.

Abstract:

:When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He was ultimately diagnosed with acute hepatitis E, but his diagnosis was initially confounded by multiple exposures to supplements known to cause drug-induced liver injury. This case illustrates the importance of broadened serologic testing in patients with acute liver injury returning from countries endemic with hepatitis E and also highlights the challenges in diagnosis of acute hepatitis E with currently available testing.

journal_name

Mil Med

journal_title

Military medicine

authors

Bush A,Sadowski B,Torres D

doi

10.1093/milmed/usy272

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e480-e482

issue

5-6

eissn

0026-4075

issn

1930-613X

pii

5160925

journal_volume

184

pub_type

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