Prolonged cholestatic jaundice with very high bilirubin level due to hepatitis e infection

Authors

  • Devki Nandan

    PGIMER,Dr.RML Hospital New Delhi-110001

  • Manish Kumar

    PGIMER,Dr.RML Hospital New Delhi-110001

  • Vivek Dewan

    PGIMER,Dr.RML Hospital New Delhi-110001

  • Chinmaya Sahoo

    PGIMER,Dr.RML Hospital New Delhi-110001

Received date: March 21, 2014

Accepted date: April 17, 2014

Published date: April 24, 2014

DOI:

https://doi.org/10.14419/ijbas.v3i2.2269

Abstract

A 12 year old male child presented with jaundice, generalized itching and disturbed sleep of one and half months duration. Extremely high Serum bilirubin levels (total 38.3 mg/dl, direct 27mg/dl, and indirect 11mg/dl) with normal liver enzymes were documented, which gradually resolved over next two months on supportive management. Hepatitis E infection was diagnosed based on presence of positive Anti hepatitis E IgM antibodies. Underlying associated hepato-biliary diseases were ruled out on a detailed work-up of the case. This case is a unique example of prolonged cholestatic jaundice with extremely high levels of bilirubin with normal liver enzymes in a case of hepatitis E, which has not been reported   previously in pediatric age group.

 

Keywords: high bilirubin, hepatitis E, Cholestatic jaundice, normal liver enzyme, prolonged jaundice.

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How to Cite

Nandan, D., Kumar, M., Dewan, V., & Sahoo, C. (2014). Prolonged cholestatic jaundice with very high bilirubin level due to hepatitis e infection. International Journal of Basic and Applied Sciences, 3(2), 99-100. https://doi.org/10.14419/ijbas.v3i2.2269

Received date: March 21, 2014

Accepted date: April 17, 2014

Published date: April 24, 2014