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Concomitant Occurrence of Hepatitis A and a Pyogenic Liver Abscess: A Pediatric Case

Ekta Kumari1, Zohaa Shahid1, Fatima Shakeel1

  • 1Pediatric Infectious Diseases, Liaquat National Hospital and Medical College, Karachi, PAK.

Cureus
|June 14, 2024
PubMed

Insights

This case report highlights a rare dual infection of pyogenic liver abscess (PLA) and hepatitis A in a child. Early diagnosis is vital as co-infection can worsen outcomes.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Pediatrics

Background:

  • Pyogenic liver abscess (PLA) and hepatitis A are prevalent in developing nations.
  • Overlapping clinical presentations of PLA and hepatitis A can lead to diagnostic challenges.

Observation:

  • A five-year-old male presented with fever, jaundice, and abdominal pain.
  • The patient was diagnosed with a complicated liver abscess and concurrent hepatitis A infection.

Findings:

  • This is the first reported case of a co-existing pyogenic liver abscess and hepatitis A.
  • The simultaneous occurrence of these infections was identified in a pediatric patient.

Implications:

  • Clinicians should consider dual infection when patients with liver abscesses exhibit jaundice, particularly in endemic regions.
  • Prompt diagnosis and management of co-infection are critical due to the potentially fatal nature of PLA and the risk of exacerbated outcomes with hepatitis A.

Keywords:
amoebic liver abscesscomplicated liver abscessdual infectionhepatitishepatitis a serologyhepatitis a virus (hav)hepatomegalyliver abscesspleural effusionpyogenic liver abscess (pla)

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