Acute viral hepatitis type A with biphasic cholestatic behavior: Case presentation
Keywords:
Biphasic Hepatitis A, Cholestatic Hepatitis, Fulminant Hepatitis, Acute Viral HepatitisAbstract
Introduction: hepatitis A is an infectious-contagious disease of universal distribution. Where the presence of outbreaks in areas of overcrowding and poor sanitation is visualized. Although in general this disease has a favorable evolution, there are reports of complications and atypical forms of presentation such as the present case in question, which have an impact on the morbidity and mortality of patients.
Objective: to present a patient with biphasic, cholestatic behavior with Hepatitis A.
Case presentation: a 20-year-old white male patient, smoker, with the epidemiological history of having been diagnosed with hepatitis A 30 days earlier, during an outbreak in his living area, with a favorable evolution; but after the month of convalescence; It begins with marked ichterus, intense pruritus, choluria, acolia, abdominal pain in the right hypochondrium, and epixtasis. Physical examination revealed the presence of rubin ichterus, scratching lesions, and tenderness in the upper abdomen, with painful hepatomegaly of 3 cm. Therefore, he was admitted with a diagnosis of cholestatic biphasic hepatitis, the diagnosis was corroborated with the performance of pertinent complementary tests, he was treated with ursodeoxycholic acid where he had a favorable clinical evolution.
Conclusions: this study allowed us to observe the small number of cases reported with atypical presentation of Hepatitis A disease and the importance of a timely diagnosis from primary health care to prevent fatal complications of hepatitis.
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Copyright (c) 2025 Yasmany Salazar-Rodríguez, Aliuska Cadet-Cobas, Ibis Umpierrez-García, Thais de la Caridad Roca-Alvarez
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