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Fulminant hepatitis and glomerulonephritis--a rare presentation of hepatitis A virus infection
Radha B Pal1, Pritam Saha, Ira Das
1Department of Pediatrics, Medical College and Hospital, Kolkata, India. rbinod100@gmail.com
Aim:
We report a case of fulminant hepatitis and glomerulonephritis by Hepatitis A virus infection.
Methods:
We observed the patient's clinical course and analyzed his data retrospectively.
Results:
The three-year-old boy presented with features of acute renal failure and stage 2 hepatic encephalopathy. Renal biopsy showed diffuse mesangioproliferative glomerulonephritis with immunoglobulin M and complement 3 deposition. After receiving supportive treatment for over 6 weeks, the hepatic and renal function became normal. Renal biopsy after 3 months was normal.
Conclusion:
Acute renal failure is a rare complication of Hepatitis A virus infection. Physicians should be aware of the potential renal involvement of Hepatitis A virus infection as the prognosis is not always favourable.
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