Hepatitis A in a human immunodeficiency virus-infected patient: Impending risk during the Tokyo Olympic Games in 2020

Rika Kurata1, Yukiko Kodama1, Noriko Takamura2

  • 1Department of Internal Medicine, Mito Kyodo General Hospital, University of Tsukuba, 3-2-7, Miyamachi, Mito, Ibaraki, 310-0015, Japan.

Acute hepatitis A is caused by hepatitis A virus (HAV), which spreads through contaminated food or water or person-to-person contact, and has been epidemic among men who have sex with men (MSM) since 2018 in Tokyo. The majority of these patients have been found to be seropositive for human immunodeficiency virus (HIV) and contracted hepatitis A through sexual contact. We cared for an HIV-positive patient with fulminant hepatitis A while on antiretroviral therapy at our hospital. Hepatitis A vaccine should be aggressively promoted for HIV-positive MSM.

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