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Hepatic Microabscesses: A Unique Presentation of Herpes Simplex Virus Hepatitis

Year: 2021

Type: article

Abstract: ABSTRACT Viral hepatitis caused by herpes simplex virus (HSV) infection occurs with a wide array of clinical presentations, making timely definitive diagnosis challenging. Immunosuppressed patients provide further complexity with an increased risk for severe infection and acute liver failure. We report a rare case of HSV hepatitis manifested as HSV type 1 and HSV type 2 (HSV-1 and 2) coinfection resulting in innumerable hepatic hypodensities with peripheral enhancement, suggestive of liver microabscesses. Initiation of antiviral therapy resulted in rapid recovery. The presence of hepatic hypodensities and acute liver injury should raise suspicion for HSV hepatitis in the immunocompromised host.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000000697

Authors: Kristin M. Olson, Lauren M. Keim, Tyson T. Holm, Derrick D. Eichele

Institution: University of Nebraska Medical Center

Language: English

Topic: Herpesvirus Infections and Treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4200484716

FWCI:

Cites: 10

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Related to: 10