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Region Hovedstaden - en del af Københavns Universitetshospital
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Severe acute hepatitis E infection presenting with acute abdomen and meningoencephalitis

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Vis graf over relationer

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.

OriginalsprogEngelsk
TidsskriftBMJ Case Reports
Vol/bind13
Udgave nummer12
ISSN1757-790X
DOI
StatusUdgivet - 13 dec. 2020

Bibliografisk note

© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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