title: Severe liver failure due to influenza A infection in a hemodialysis patient.
abstract: Patients with influenza infection most commonly present with upper and occasionally lower respiratory tract symptoms. However, extrapulmonary presentations such as hepatitis are infrequently observed. We report a case of a hemodialysis patient with influenza A infection who presented with severe hepatitis and liver failure, while his respiratory symptoms were mild. It is important to recognize influenza infection as an unexplained cause of hepatitis and liver failure. In our case, liver failure resolved with supportive treatment.
authors.affiliation: Division of Nephrology, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.
authors.forename: Maggie Ming Yee
authors.initials: MM
authors.lastname: Mok
authors.affiliation: Department of Microbiology, Queen Mary Hospital, Hong Kong.
authors.forename: Vincent Chi Chung
authors.initials: VC
authors.lastname: Cheng
authors.affiliation: Division of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong.
authors.forename: Sing Leung
authors.initials: SL
authors.lastname: Lui
authors.affiliation: Division of Nephrology, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.
authors.forename: Lorraine Pui Yuen
authors.initials: LP
authors.lastname: Kwan
authors.affiliation: Division of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong.
authors.forename: Gary Chi Wang
authors.initials: GC
authors.lastname: Chan
authors.affiliation: Division of Nephrology, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.
authors.forename: Desmond Yat Hin
authors.initials: DY
authors.lastname: Yap
authors.affiliation: Division of Nephrology, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.
authors.forename: Tak Mao
authors.initials: TM
authors.lastname: Chan
authors.affiliation: Division of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong.
authors.forename: Wai Kei
authors.initials: WK
authors.lastname: Lo
mesh_terms: D000368:Aged; D006801:Humans; D007251:Influenza, Human / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D017093:Liver Failure / Q000209:etiology*; D008297:Male; D006435:Renal Dialysis / Q000379:methods*
keywords: Infection; extrapulmonary manifestation; hemodialysis; liver failure