An Unusual Case of Acute-on-Chronic Liver Failure Leading to Liver Transplantation: Case Report

We report a case of acute-on-chronic liver failure manifesting as fulminant hepatitis caused by acute infection with hepatitis C virus in a patient with chronic cirrhosis secondary to former alcohol use. As a treatable cause with readily accessible testing, acute infection should be considered as a...

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Bibliographic Details
Main Authors: Brianna Coogle, Stephen Waller, Stephanie Wood, Joshua Smith, Ryan M. Taylor
Format: Article
Language:English
Published: American College of Physicians 2024-07-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.1338
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Summary:We report a case of acute-on-chronic liver failure manifesting as fulminant hepatitis caused by acute infection with hepatitis C virus in a patient with chronic cirrhosis secondary to former alcohol use. As a treatable cause with readily accessible testing, acute infection should be considered as a possible cause in all cases of acute-on-chronic liver failure. Hepatitis C virus viral load testing should be the test of choice to avoid missing a diagnosis in the window period of acute infection.
ISSN:2767-7664