Hepatitis A (HAV) is a picornavirus transmitted via fecal-oral route that disproportionately affects homeless persons, men who have sex with men, and individuals who use intravenous drugs. Acute HAV typically presents with nausea, vomiting, abdominal pain, and fever. It is most commonly self-limited but can progress to fulminant hepatic failure in less than 1% of cases. The following case is a unique presentation of acute HAV infection requiring diagnostic dexterity and critical thinking.
Molin, MD, Andrea; Cheung, MD, Michael; and Kuchera, MD, Timothy
"A Confounding Case of Acute Hepatitis A,"
The Medicine Forum: Vol. 23, Article 11.
Available at: https://jdc.jefferson.edu/tmf/vol23/iss1/11