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

Abstract

Baliga Kiran, Pradyum Ram, Baliga BS, Rajesh SM and Kini Prashant

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.

अस्वीकृति: इस सारांश का अनुवाद कृत्रिम बुद्धिमत्ता उपकरणों का उपयोग करके किया गया है और इसे अभी तक समीक्षा या सत्यापित नहीं किया गया है।

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