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Original Article
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Korean J Med. 2011;80(2):111-116.
- 만성B형 간염 환자에서 발생한 A형 간염에 의한 다발성 장기부전 1예
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윤한결1, 김나영,, 김자선1, 이기종1, 연재우2, 백소야3, 박영민4, , , , ,
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- A Case of Multiple Organ Failure Complicating Hepatitis A Virus Superinfection in a Chronic Hepatitis B Patient
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Han-Kyeol Yun1, Nha Young Kim1, Ja-Seon Kim1, Ki-Jong Lee1, Jae-Woo Yeon2, So Ya Paik3, Young Min Park4
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- Abstract
- Hepatitis A virus is a major cause of viral hepatitis worldwide. The prevalence of hepatitis A in young adults has recently been increasing in Korea. Hepatitis A infection rarely complicates fulminant hepatitis, acute pancreatitis, and acute renal failure. We experienced a case of multiple organ failure involving fulminant hepatitis, acute pancreatitis, and acute renal failure complicating a hepatitis A superinfection in a chronic hepatitis B patient. The patient was a 38yearold man who presented with febrile sense and myalgia. He was initially alert, but became confused and developed acute renal failure and acute pancreatitis. He received continuous renal replacement therapy and conservative treatment and completely recovered from the multiple organ failure. It is important to consider a variety of potential complications in hepatitis A patients, especially in those with underlying chronic liver disease.
Keywords :Hepatitis A, Hepatitis B, Multiple organ failure
