1. Severe acute hepatitis E infection presenting with acute abdomen and meningoencephalitis
- Author
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Rosa Maja Møhring Gynthersen, Helene Mens, Christian Philip Rønn, and Christian Brandt
- Subjects
0301 basic medicine ,Male ,medicine.medical_specialty ,030106 microbiology ,Lymphocytic pleocytosis ,Case Report ,Gastroenterology ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,Meningoencephalitis ,Risk Factors ,Internal medicine ,medicine ,Humans ,Hepatitis ,Abdomen, Acute ,medicine.diagnostic_test ,Lumbar puncture ,business.industry ,General Medicine ,Middle Aged ,Hepatitis E ,medicine.disease ,Alcoholism ,medicine.anatomical_structure ,Diabetes Mellitus, Type 2 ,Acute abdomen ,Acute Disease ,Abdomen ,030211 gastroenterology & hepatology ,medicine.symptom ,business ,Meningitis - Abstract
We present a case of a 50-year-old man admitted due to acute abdomen, icterus and fever. The patient had a history of sufficiently treated type 2 diabetes and a high daily alcohol consumption, no recent travel history and had a strictly heterosexual and monogamous way of living. A full blood count displayed severe elevated liver enzymes. A CT of the abdomen was performed and revealed steatosis but no acute abdominal pathology. During admission, the patient developed signs of meningoencephalitis. A lumbar puncture was performed, and the cerebrospinal fluid revealed lymphocytic pleocytosis consistent with mild inflammation. Furthermore, hepatitis E was found in the blood and the definitive diagnosis was established. The patient gradually recovered and was discharged within 8 days of admission. To the best of our knowledge, we present the second case describing concomitant hepatitis and meningoencephalitis, resolving spontaneously and not giving rise to sequelae.
- Published
- 2020