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Case Reports
. 2021 Jun 4;14(6):e242853.
doi: 10.1136/bcr-2021-242853.

Acute icteric hepatitis as the first isolated symptom of COVID-19

Pierre-Clément Thiebaud  1 , Christelle Hermand  2 , Jennifer Sobotka  2 , Pierre-Alexis Raynal  2
Affiliations
Case Reports

Acute icteric hepatitis as the first isolated symptom of COVID-19

Pierre-Clément Thiebaud et al. BMJ Case Rep. .

Abstract

Patients with COVID-19 may be asymptomatic or present with extrarespiratory symptoms, such as liver injury. It has been reported that 22.5%-46.2% of patients have moderate elevation of liver enzymes. To our knowledge, acute hepatitis has never been described as an isolated symptom of COVID-19 in a previously healthy patient. We report the case of a 53-year-old patient with COVID-19 whose first clinical presentation was acute icteric hepatitis, several days before the development of others symptoms. During the pandemic, we suggest that patients with acute hepatitis be considered as COVID-19 suspects, tested and isolated.

Keywords: COVID-19; hepatitis and other GI infections; hepatitis other.

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Conflict of interest statement

Competing interests: None declared.

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