title: Influenza A hepatitis in pregnancy.
abstract: BACKGROUND
  Influenza A has been described in association with hepatitis. We present a case of complicated influenza A hepatitis in a pregnant woman, adding to the broad differential of liver disease in pregnancy.
  
  
  METHODS
  A 32-year-old woman, gravida 3 para 2002, at 31 4/7 weeks of gestation had influenza A diagnosed and subsequent development of severe pruritis and elevated liver enzymes (aspartate aminotransferase 659 international units/L, normal 15-46 micromoles/L; alanine aminotransferase 933 international units/L, normal 13-69 micromoles/L; and total bile acids 249.7 micromoles/L, normal 4.5-19.2 micromoles/L). She was treated supportively, and fetal surveillance was normal. Her symptoms resolved over the subsequent 2 weeks, and she delivered a healthy term newborn.
  
  
  CONCLUSIONS
  Influenza A infection can be associated with hepatitis in pregnancy, which in our case resolved spontaneously over 10 to 14 days with favorable maternal and perinatal outcomes.
authors.affiliation: Departments of Obstetrics and Gynecology and Gastroenterology, Mount Sinai Beth Israel, New York, New York.
authors.forename: Sarah
authors.initials: S
authors.lastname: Morocco
authors.forename: Andrew
authors.initials: A
authors.lastname: Korman
authors.forename: Janet
authors.initials: J
authors.lastname: Stein
mesh_terms: D000328:Adult; D005260:Female; D006525:Hepatitis, Viral, Human / Q000209:etiology* / Q000821:virology; D006801:Humans; D009980:Influenza A virus / Q000302:isolation & purification* / Q000472:pathogenicity*; D007251:Influenza, Human / Q000150:complications*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000821:virology*