Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature

Herpes simplex virus (HSV) is a rare cause of hepatitis in pregnancy and the chronically immunosuppressed, with a high propensity to progress to acute liver failure (ALF) and death. Patients typically present with a nonspecific clinical picture that often delays diagnosis and treatment, contributing...

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Main Authors: Amna Ahmed, Alejandro Granillo, Ethan Burns, Kerri Glassner, Nishath Naseem, Christopher Force, Suzanne M. Crumley, Ashley Drews
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2020/8613840
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author Amna Ahmed
Alejandro Granillo
Ethan Burns
Kerri Glassner
Nishath Naseem
Christopher Force
Suzanne M. Crumley
Ashley Drews
author_facet Amna Ahmed
Alejandro Granillo
Ethan Burns
Kerri Glassner
Nishath Naseem
Christopher Force
Suzanne M. Crumley
Ashley Drews
author_sort Amna Ahmed
collection DOAJ
description Herpes simplex virus (HSV) is a rare cause of hepatitis in pregnancy and the chronically immunosuppressed, with a high propensity to progress to acute liver failure (ALF) and death. Patients typically present with a nonspecific clinical picture that often delays diagnosis and treatment, contributing to the high mortality rate. We present a case of a young female on chronic prednisone and hydroxychloroquine for systemic lupus erythematosus (SLE) who was diagnosed with HSV-2 hepatitis after presenting with right-sided chest and abdominal discomfort. Despite early clinical deterioration, prompt initiation of therapy with intravenous acyclovir and methylprednisolone led to rapid improvement.
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publishDate 2020-01-01
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series Case Reports in Medicine
spelling doaj-art-09ff8a1b490f475999022a5a439546982025-02-03T06:43:40ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/86138408613840Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the LiteratureAmna Ahmed0Alejandro Granillo1Ethan Burns2Kerri Glassner3Nishath Naseem4Christopher Force5Suzanne M. Crumley6Ashley Drews7Houston Methodist Hospital, Department of Medicine, 6550 Fannin Street, Houston, TX 77030, USAHouston Methodist Hospital, Department of Medicine, 6550 Fannin Street, Houston, TX 77030, USAHouston Methodist Hospital, Department of Medicine, 6550 Fannin Street, Houston, TX 77030, USAHouston Methodist Hospital, Department of Gastroenterology and Hepatology, Houston, TX 77030, USAHouston Methodist Hospital, Department of Medicine, 6550 Fannin Street, Houston, TX 77030, USAHouston Methodist Hospital, Department of Medicine, 6550 Fannin Street, Houston, TX 77030, USAHouston Methodist Hospital, Department of Pathology and Genomic Medicine, Houston, TX 77030, USAHouston Methodist Hospital, Department of Infectious Diseases, Houston, TX 77030, USAHerpes simplex virus (HSV) is a rare cause of hepatitis in pregnancy and the chronically immunosuppressed, with a high propensity to progress to acute liver failure (ALF) and death. Patients typically present with a nonspecific clinical picture that often delays diagnosis and treatment, contributing to the high mortality rate. We present a case of a young female on chronic prednisone and hydroxychloroquine for systemic lupus erythematosus (SLE) who was diagnosed with HSV-2 hepatitis after presenting with right-sided chest and abdominal discomfort. Despite early clinical deterioration, prompt initiation of therapy with intravenous acyclovir and methylprednisolone led to rapid improvement.http://dx.doi.org/10.1155/2020/8613840
spellingShingle Amna Ahmed
Alejandro Granillo
Ethan Burns
Kerri Glassner
Nishath Naseem
Christopher Force
Suzanne M. Crumley
Ashley Drews
Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature
Case Reports in Medicine
title Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature
title_full Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature
title_fullStr Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature
title_full_unstemmed Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature
title_short Herpes Simplex Virus-2 Hepatitis: A Case Report and Review of the Literature
title_sort herpes simplex virus 2 hepatitis a case report and review of the literature
url http://dx.doi.org/10.1155/2020/8613840
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