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Case Reports
. 2023 Aug 17;13(8):1761.
doi: 10.3390/life13081761.

A Surprising Case of Triple Acute Hepatitis Infection

Ion Ștefan  1   2 , Ioana-Mădălina Cristea  1 , Alexia-Teodora Ștefan  3 , Aurelian-Emil Ranetti  4 , Carmen Adella Sirbu  5   6 , Elena Rusu  7 , Cosmin Alec Moldovan  2 , Polliana M Leru  8   9 , Claudiu-Eduard Nistor  10
Affiliations
Case Reports

A Surprising Case of Triple Acute Hepatitis Infection

Ion Ștefan et al. Life (Basel). .

Abstract

Viral hepatitis continues to be the leading cause of morbidity and mortality worldwide, but the burden has significantly diminished thanks to the large-scale use of vaccines and antivirals. However, there are still challenges regarding viral hepatitis management, especially when more than one pathogenic agent is involved. We present the case of a 45-year-old woman who had a simultaneous infection involving three hepatitis viruses: HAV, HBV, and HEV.

Keywords: DNA HBV; acute exacerbation of chronic hepatitis B (AE-CHB); acute hepatitis HAV; acute hepatitis HBV (AHB); acute hepatitis HEV.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Hepatic function during hospitalization. An efficient response is observed after treatment with an antiviral molecule. Note: adapted from management of severe acute to fulminant hepatitis B: to treat or not to treat, or when to treat? Tillman et al., 2011, Liver International.
Figure 2
Figure 2
Resolution of acute hepatitis B during antiviral treatment started on the 6th day since diagnostic. Note: adapted from hepatitis B virus infection Trépo et al., 2014, Lance.
See this image and copyright information in PMC

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