Fatal acute liver failure following norovirus gastroenteritis in a child: A case report

Norovirus is the leading cause of acute gastroenteritis and rarely present with extra-intestinal manifestations. There are few reported cases of hepatitis following norovirus gastroenteritis, with no documented fatalities. We present a case of fatal acute hepatitis following norovirus gastroenteriti...

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Main Authors: Rabab Taha, Noura Elazhary, Sarah Alqhtani, Walaa Almansouri
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Journal of Infection and Public Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S1876034125000243
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author Rabab Taha
Noura Elazhary
Sarah Alqhtani
Walaa Almansouri
author_facet Rabab Taha
Noura Elazhary
Sarah Alqhtani
Walaa Almansouri
author_sort Rabab Taha
collection DOAJ
description Norovirus is the leading cause of acute gastroenteritis and rarely present with extra-intestinal manifestations. There are few reported cases of hepatitis following norovirus gastroenteritis, with no documented fatalities. We present a case of fatal acute hepatitis following norovirus gastroenteritis in a child. The patient was a previously healthy 6-year-old boy who presented with diarrhea, vomiting, and fever. He was admitted and treated supportively as a case of acute gastroenteritis. Despite treatment, he rapidly developed acute liver failure in the course of gastroenteritis. Other potential causes including drugs and other possible viral infections were ruled out, only norovirus was isolated from his stool. The patient’s liver function continued to deteriorate leading to fulminant liver failure and death within days.
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spelling doaj-art-c14a10d3a660451f9befe327fd4f8e312025-02-02T05:27:01ZengElsevierJournal of Infection and Public Health1876-03412025-04-01184102675Fatal acute liver failure following norovirus gastroenteritis in a child: A case reportRabab Taha0Noura Elazhary1Sarah Alqhtani2Walaa Almansouri3Department of Internal Medicine, International Medical Center Hospital, Jeddah, Saudi Arabia; Correspondence to: Transplant Infectious Diseases consultant, Department of Internal Medicine, International Medical Center Hospital, Hail Street, Jeddah 23214, Saudi Arabia.Department of Pediatric Infectious Diseases, Al Murjan Hospital, Jeddah, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi ArabiaKing Abdullah International Medical Research Center, Jeddah, Saudi Arabia; Consultant of Pediatric Infectious Disease, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Jeddah, Saudi ArabiaNorovirus is the leading cause of acute gastroenteritis and rarely present with extra-intestinal manifestations. There are few reported cases of hepatitis following norovirus gastroenteritis, with no documented fatalities. We present a case of fatal acute hepatitis following norovirus gastroenteritis in a child. The patient was a previously healthy 6-year-old boy who presented with diarrhea, vomiting, and fever. He was admitted and treated supportively as a case of acute gastroenteritis. Despite treatment, he rapidly developed acute liver failure in the course of gastroenteritis. Other potential causes including drugs and other possible viral infections were ruled out, only norovirus was isolated from his stool. The patient’s liver function continued to deteriorate leading to fulminant liver failure and death within days.http://www.sciencedirect.com/science/article/pii/S1876034125000243Acute gastroenteritisNorovirusLiver dysfunctionAcute liver failureHepatitisCase report
spellingShingle Rabab Taha
Noura Elazhary
Sarah Alqhtani
Walaa Almansouri
Fatal acute liver failure following norovirus gastroenteritis in a child: A case report
Journal of Infection and Public Health
Acute gastroenteritis
Norovirus
Liver dysfunction
Acute liver failure
Hepatitis
Case report
title Fatal acute liver failure following norovirus gastroenteritis in a child: A case report
title_full Fatal acute liver failure following norovirus gastroenteritis in a child: A case report
title_fullStr Fatal acute liver failure following norovirus gastroenteritis in a child: A case report
title_full_unstemmed Fatal acute liver failure following norovirus gastroenteritis in a child: A case report
title_short Fatal acute liver failure following norovirus gastroenteritis in a child: A case report
title_sort fatal acute liver failure following norovirus gastroenteritis in a child a case report
topic Acute gastroenteritis
Norovirus
Liver dysfunction
Acute liver failure
Hepatitis
Case report
url http://www.sciencedirect.com/science/article/pii/S1876034125000243
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AT nouraelazhary fatalacuteliverfailurefollowingnorovirusgastroenteritisinachildacasereport
AT sarahalqhtani fatalacuteliverfailurefollowingnorovirusgastroenteritisinachildacasereport
AT walaaalmansouri fatalacuteliverfailurefollowingnorovirusgastroenteritisinachildacasereport