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Related Concept Videos

Myocarditis III: Medical Management01:14

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Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
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Myocarditis II: Clinical Features and Diagnostic Tests01:27

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Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
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Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
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Acute Pancreatitis I: Introduction01:27

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Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
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Steroid-Responsive Myositis Associated With Acute Hepatitis E Infection.

Lubna Jafri1, Ali Sajjad1, Shafaq Saleem1

  • 1Neurology, Aga Khan University, Karachi, PAK.

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|July 16, 2021
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Summary

Hepatitis E virus (HEV) infection can rarely cause inflammatory myositis, a condition affecting muscles. Early diagnosis and steroid treatment of this rare HEV complication significantly improve patient outcomes.

Keywords:
hepatitis e virushevmyopathymyositissteroids

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Area of Science:

  • Hepatology
  • Neurology
  • Rheumatology

Background:

  • Acute Hepatitis E Virus (HEV) infection is typically self-limiting, presenting with mild jaundice and constitutional symptoms.
  • Rarely, HEV can manifest with severe outcomes like fulminant hepatic failure or extrahepatic manifestations.

Observation:

  • A young woman with diagnosed acute HEV infection presented with a generalized body rash and limb weakness.
  • This clinical presentation suggested a potential extrahepatic complication beyond typical hepatitis symptoms.

Findings:

  • The patient was diagnosed with inflammatory myositis, a rare neurological complication associated with HEV infection.
  • Literature review confirmed myositis as a recognized, albeit uncommon, manifestation of HEV.

Implications:

  • Prompt diagnosis and management of HEV-associated myositis are crucial for reducing patient morbidity.
  • This case highlights the importance of considering neurological complications in patients with acute HEV infection.