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Acute Viral Hepatitis: Simultaneous Infection from Hepatitis A, B and E Viruses
Nazish Butt1, M Ali Khan1, Farhan Haleem1
1Gastroenterology Section, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
Abstract:
Acute viral hepatitis is a significant health problem in the developing world. Usually, the disease runs a benign course with complete resolution of signs and symptoms within days to weeks. It can be caused by any of the hepatitis viruses as well as other pathogens. Viral hepatitis can also be caused by co-infection from multiple hepatitis viruses, however, this is rare. Here, we report a unique case of acute hepatitis caused by simultaneous infection from Hepatitis A Virus (HAV), Hepatitis B Virus (HBV) and Hepatitis E Virus (HEV). This case is rare as all work-ups for probable causes of acute hepatitis were negative; and the review of the literature showed that such a case had not been previously reported.
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