Department of Medicine, Kasturba Hospital, Manipal-576 104, Karnataka, India.
Asian Pac J Trop Med. 2012 Jul;5(7):587-8. doi: 10.1016/S1995-7645(12)60104-7.
We report the case of a young male who presented with features of aseptic meningitis and elevated serum liver enzymes, but no symptoms or signs suggestive of an acute hepatitis. Subsequently, he was diagnosed with dual infection with hepatitis A and E viruses, and recovered completely with symptomatic therapy. Isolated aseptic meningitis, unaccompanied by hepatitic features is an unusual presentation of a hepatotrophic viral infection, and is yet to be reported with hepatitis A and E virus co-infection.
我们报告了一例年轻男性病例,其表现为无菌性脑膜炎和血清肝酶升高,但无任何提示急性肝炎的症状或体征。随后,他被诊断为甲型和戊型肝炎病毒双重感染,经对症治疗后完全康复。伴有肝损伤特征的孤立性无菌性脑膜炎是一种嗜肝病毒感染的不常见表现,且尚未有关于甲型和戊型肝炎病毒合并感染的报道。