Unusual cardiac features in cholestatic hepatitis A in an adolescent: improvement with corticosteroid treatment.
Hepatitis A is one of the most frequent infectious liver diseases affecting children worldwide. Extra-hepatic manifestations of acute hepatitis A virus are rare in pediatric age group. We report a case of a 16-year-old, otherwise healthy adolescent who had viral hepatitis A with cardiac manifestations. The patient is the first pediatric case of hepatitis A with a combination of hypotension, persistent bradycardia and progressive cholestasis.
Atabek
Mehmet Emre
ME
Department of Pediatrics, Faculty of Medicine, Selcuk University, Konya, Turkey. meatabek@hotmail.com
Pirgon
Ozgur
O
D000208:Acute Disease; D000293:Adolescent; D001919:Bradycardia / Q000188:drug therapy* / Q000209:etiology; D002779:Cholestasis / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D005938:Glucocorticoids / Q000627:therapeutic use*; D006506:Hepatitis A / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D030041:Hepatitis A virus / Q000472:pathogenicity; D006801:Humans; D007022:Hypotension / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use*; D016896:Treatment Outcome
D005938:Glucocorticoids; D008775:Methylprednisolone