Beyond the liver: unveiling rhabdomyolysis as a rare complication of hepatitis A
  • Yash R. Shah
    Department of Internal Medicine, Wayne State University/Trinity Health Oakland, Pontiac, USA
  • Angad Tiwari
    Department of Medicine, Maharani Laxmi Bai Medical College, Jhansi, India
  • Dushyant Singh Dahiya
    Department Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, USA
  • Veslav Stecevic
    Department of Gastroenterology and Hepatology, Trinity Health Oakland, Pontiac, Michigan, USA
  • Zunirah Ahmed
    Department Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, USA

Keywords

Hepatitis A, rhabdomyolysis, complications

Abstract

Hepatitis A is a mild self-limiting infection of the liver with spontaneous resolution of symptoms in most cases. However, clinicians should be aware of some commonly encountered complications and extrahepatic manifestations associated with hepatitis A for timely diagnosis and treatment. Rhabdomyolysis, an exceedingly rare complication of hepatitis A, is scarcely documented. We present a case of a 64-year-old man with symptoms consistent with rhabdomyolysis and an evanescent rash secondary to acute hepatitis A. He eventually recovered with conservative management. This case emphasizes the importance of recognizing and treating atypical presentations of acute hepatitis A infection.

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References

  • Iorio N, John S. Hepatitis A. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Feb 27]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK459290/
  • Hepatitis A [Internet]. [cited 2024 Feb 27]. Available from: https://www.who.int/news-room/fact-sheets/detail/hepatitis-a
  • Bhatt G, Sandhu VS, Mitchell CK. A rare presentation of hepatitis a infection with extrahepatic manifestations. Case Rep Gastrointest Med 2014;2014:286914.
  • Allen O, Edhi A, Hafeez A, Halalau A. A Very Rare Complication of Hepatitis A Infection: Acute Myocarditis—A Case Report with Literature Review. Case Rep Med 2018;2018:3625139.
  • Ann SH, An GH, Lee SY, Oak JH, Moon HI, Moon SK, et al. A case of rhabdomyolysis during hospitalization for acute hepatitis A. Korean J Hepatol 2009;15:85–89.
  • Babu MS, Ashoka HG, Adusumilli A. Rhabdomyolysis in Hepatitis A: Uncommon Complication of a Common Infection. APIK J Intern Med 2023;11:63.
  • Torres PA, Helmstetter JA, Kaye AM, Kaye AD. Rhabdomyolysis: Pathogenesis, Diagnosis, and Treatment. Ochsner J 2015;15:58–69.
  • Nachbaur K, König P, Rumpelt HJ, Schobel B, Lhotta K, Vogel W. Acute renal failure complicating non-fulminant hepatitis A. Clin Nephrol 1996;45:398–400.
  • Babu MS, Ashoka HG, Adusumilli A. Rhabdomyolysis in Hepatitis A: Uncommon Complication of a Common Infection. APIK J Intern Med 2023;11:63.
  • Weibrecht K, Dayno M, Darling C, Bird SB. Liver Aminotransferases Are Elevated with Rhabdomyolysis in the Absence of Significant Liver Injury. J Med Toxicol 2010;6:294–300.
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    Published: 2024-05-27
    Issue: 2024: Vol 11 No 6 (view)


    How to cite:
    1.
    Shah YR, Tiwari A, Singh Dahiya D, Stecevic V, Ahmed Z. Beyond the liver: unveiling rhabdomyolysis as a rare complication of hepatitis A. EJCRIM 2024;11 doi:10.12890/2024_004599.