与非暴发性急性甲型病毒性肝炎相关的急性肾衰竭

Sarawgi S, Gupta A K, Arora D S, Jasuja S

Indian J Nephrol. 2008 Apr;18(2):77-9. doi: 10.4103/0971-4065.42344.

Hepatitis A runs a benign course in children, but may have atypical presentations in adults. Very rarely acute renal failure complicates nonfulminant hepatitis A. We report a patient with nonfulminant acute viral hepatitis A with multiorgan involvement. Patient had biopsy proven acute interstitial nephritis, acute pancreatitis, acute myocarditis and required hemodialysis for 6 weeks.

甲型肝炎在儿童中病程呈良性，但在成人中可能有非典型表现。非暴发性甲型肝炎极少并发急性肾衰竭。我们报告一例非暴发性急性甲型病毒性肝炎伴多器官受累的患者。患者经活检证实患有急性间质性肾炎、急性胰腺炎、急性心肌炎，且需要进行6周的血液透析。