title: Progressive liver failure post acute hepatitis A, over a three-month period, resulting in hepatorenal syndrome and death.
abstract: Hepatitis A is a common viral illness worldwide. It usually results in an acute, self-limiting disease and only rarely leads to fulminant hepatic failure or any other complications. During the period of conflict in Syria, and due to the damages to water infrastructure and poor sanitation, a dramatic increase in hepatitis A virus infection has been documented. Here we report a rare case of a 14-year-old male whose hepatitis A was complicated with hepatorenal syndrome and subacute liver failure. The war condition in Syria impeded transportation of the patient to a nearby country for liver transplantation, contributing to his unfortunate death.
authors.affiliation: Faculty of Medicine, University of Damascus, Damascus, Syrian Arab Republic tu.tarek@gmail.com.
authors.forename: Tarek
authors.initials: T
authors.lastname: Turk
authors.affiliation: Faculty of Medicine, University of Damascus, Damascus, Syrian Arab Republic.
authors.forename: Tareq
authors.initials: T
authors.lastname: Al Saadi
authors.affiliation: Faculty of Medicine, Syrian Private University, Damascus, Syrian Arab Republic.
authors.forename: Bisher
authors.initials: B
authors.lastname: Sawaf
authors.affiliation: Faculty of Medicine, University of Damascus, Damascus, Syrian Arab Republic.
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Alkhatib
authors.affiliation: Faculty of Medicine, Syrian Private University, Damascus, Syrian Arab Republic.
authors.forename: Mhd Ismael
authors.initials: MI
authors.lastname: Zakaria
authors.affiliation: Gastroenterology and Hepatology, Medical Care Center, Damascus, Syrian Arab Republic.
authors.forename: Bisher
authors.initials: B
authors.lastname: Daaboul
keywords: acute liver failure; hepatitis A virus; hepatorenal syndrome