A case of acute tubular necrosis with hepatitis A that mimicked hemorrhagic fever with renal syndrome

Eun Jeung Lee,; Eun Ju Choo,; Tae Hyong Kim,; Kye Won Kwon,

Korean J Med > Volume 73(3); 2007 > Article

Original Article

The Korean Journal of Medicine 2007;73(3):1055-1060.

A case of acute tubular necrosis with hepatitis A that mimicked hemorrhagic fever with renal syndrome

Eun Jeung Lee, Eun Ju Choo, Tae Hyong Kim, Kye Won Kwon

성균관 의과대학교 삼성서울병원 심혈관센터 순환기내과

증례 : 신증후성 출혈열로 나타난 A형 간염에 의한 급성 신세뇨관 괴사 1예

이은정&#;추은주&#;김태형&#;권계원, Eun Ju Choo, Tae Hyong Kim, Kye Won Kwon

Abstract

Hepatitis A, in contrast to hepatitis B and C, is usually a self-limiting infection of the liver and it rarely causes chronic liver disease. Acute renal failure complicating acute viral hepatitis A is uncommon in the absence of fulminant hepatic failure. We present here a case of a 38-year-old, previously healthy male with non-fulminant hepatitis A, and he developed progressive oliguric renal failure that required dialysis therapy. The patient recovered completely after a few weeks. Renal biposy showed acute tubular necrosis. We describe the association of acute hepatitis A with renal involvement.(Korean J Med 73:S1055-S1060, 2007)

Key Words: Acute renal failure, Hepatitis A