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A patient with acute hepatitis E and intractable vomiting: a case report
Kui Deng1, Xiao-Qin Dong2, Dong Xu2
1Department of Gastroenterology, Yiyang City Central Hospital, Yiyang, Hunan, China.
Frontiers in Medicine
|August 5, 2025
Summary
This case report details a patient with acute hepatitis E experiencing unusual symptoms like persistent vomiting and dizziness. Conservative treatment led to significant symptom improvement and good recovery, highlighting atypical presentations of the infection.
Area of Science:
- Hepatology
- Infectious Diseases
- Clinical Case Reports
Background:
- Acute hepatitis E is typically characterized by jaundice, fatigue, and abdominal pain.
- Neurological symptoms such as dizziness are considered uncommon presentations of hepatitis E infection.
Observation:
- A patient presented with acute hepatitis E, exhibiting recurrent vomiting and dizziness, which are atypical symptoms.
- Initial symptoms included jaundice (yellow urine, sclera, skin staining), fatigue, poor appetite, nausea, and itching.
Findings:
- The patient was diagnosed with acute hepatitis E and hospitalized for over a month.
- Conservative management with medication and rest resulted in significant improvement of vomiting and dizziness.
Implications:
- This case underscores the importance of considering hepatitis E in patients presenting with unusual neurological symptoms alongside typical signs of liver inflammation.
- Recognizing atypical presentations is crucial for timely diagnosis and appropriate management of hepatitis E.
- Further research may be warranted to explore the mechanisms behind neurological manifestations in hepatitis E.
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