A teenager presents with fulminant hepatic failure and acute hemolytic anemia

Chest
Somnath BoseNadeem Rahman

Abstract

A teenager was admitted to an outside hospital ED following an episode of melena. He had been complaining of intermittent abdominal pain, nausea, malaise, and easy fatigability for 2 months, with significant worsening of symptoms 2 weeks prior to this episode. He had no significant medical, surgical, or family history. On presentation at the outside ED, he was found to be profoundly icteric and encephalopathic. Initial laboratories suggested anemia, acute kidney injury, and acute liver failure, leading to a presumptive diagnosis of acute fulminant liver failure necessitating transfer to our institution.

References

Feb 6, 2007·Lancet·Aftab AlaMichael L Schilsky
Sep 18, 2008·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Jessica D KormanUNKNOWN Pediatric and Adult Acute Liver Failure Study Groups
Sep 30, 2008·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Alastair O'Brien, Roger Williams
Jan 6, 2012·The Pediatric Infectious Disease Journal·Akira ShiraishiToshiro Hara
Oct 15, 2013·Clinical Transplantation·Karl Heinz WeissPeter Sauer
Nov 12, 2013·Journal of Hepatology·Olivier GuillaudJean-Charles Duclos-Vallée

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