Emergency Department, Hôpital Saint-Antoine, Assistance Publique - Hôpitaux de Paris, Sorbonne Université, Paris, France
Emergency Department, Hôpital Saint-Antoine, Assistance Publique - Hôpitaux de Paris, Sorbonne Université, Paris, France.
BMJ Case Rep. 2021 Jun 4;14(6):e242853. doi: 10.1136/bcr-2021-242853.
Patients with COVID-19 may be asymptomatic or present with extrarespiratory symptoms, such as liver injury. It has been reported that 22.5%-46.2% of patients have moderate elevation of liver enzymes. To our knowledge, acute hepatitis has never been described as an isolated symptom of COVID-19 in a previously healthy patient. We report the case of a 53-year-old patient with COVID-19 whose first clinical presentation was acute icteric hepatitis, several days before the development of others symptoms. During the pandemic, we suggest that patients with acute hepatitis be considered as COVID-19 suspects, tested and isolated.
COVID-19 患者可能无症状或表现出呼吸外症状，如肝损伤。据报道，22.5%-46.2%的患者肝酶中度升高。据我们所知，急性肝炎从未被描述为既往健康患者 COVID-19 的孤立症状。我们报告了一例 COVID-19 患者，其首次临床表现为急性黄疸性肝炎，在出现其他症状的前几天。在大流行期间，我们建议将急性肝炎患者视为 COVID-19 疑似病例，进行检测和隔离。
