Beyond the Liver: Unveiling Rhabdomyolysis as a Rare Complication of Hepatitis A.

Autor:	Shah YR; Department of Internal Medicine, Wayne State University/Trinity Health Oakland, Pontiac, USA., Tiwari A; Department of Medicine, Maharani Laxmi Bai Medical College, Jhansi, India., Singh Dahiya D; Department Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, USA., Stecevic V; Department of Gastroenterology and Hepatology, Trinity Health Oakland, Pontiac, Michigan, USA., Ahmed Z; Department Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, USA.
Jazyk:	angličtina
Zdroj:	European journal of case reports in internal medicine [Eur J Case Rep Intern Med] 2024 May 27; Vol. 11 (6), pp. 004599. Date of Electronic Publication: 2024 May 27 (Print Publication: 2024).
DOI:	10.12890/2024_004599
Abstrakt:	Hepatitis A is a mild self-limiting infection of the liver with spontaneous resolution of symptoms in most cases. However, clinicians should be aware of some commonly encountered complications and extrahepatic manifestations associated with hepatitis A for timely diagnosis and treatment. Rhabdomyolysis, an exceedingly rare complication of hepatitis A, is scarcely documented. We present a case of a 64-year-old man with symptoms consistent with rhabdomyolysis and an evanescent rash secondary to acute hepatitis A. He eventually recovered with conservative management. This case emphasizes the importance of recognizing and treating atypical presentations of acute hepatitis A infection. Learning Points: Recognition of atypical presentations: The case underscores the importance of recognizing and treating atypical presentations of acute hepatitis A infection. Clinicians should be vigilant for unusual manifestations of common infections, facilitating timely diagnosis and appropriate management. Understanding rare complications: Rhabdomyolysis is identified as an exceedingly rare complication of hepatitis A infection, which is scarcely documented in the literature. This case contributes to the growing understanding of extrahepatic manifestations associated with hepatitis A, emphasizing the importance of considering uncommon complications in the differential diagnosis, especially when typical clinical presentations are observed. Management strategies: The article discusses the treatment approach for rhabdomyolysis secondary to acute hepatitis A, which involves aggressive fluid resuscitation to prevent kidney damage from myoglobinuria, correction of electrolyte imbalances, and metabolic abnormalities. Additionally, vaccination against hepatitis A and advocating for sanitation measures are highlighted as important preventive strategies. Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests. (© EFIM 2024.)
Databáze:	MEDLINE
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