Under Disguise: A Concealed Case of Acute Hepatitis A Infection

Jordan C Malone; Ernesto Zamora; Joseph M Gosnell; Heather L Stevenson; Akshata Moghe

doi:10.7759/cureus.48224

Under Disguise: A Concealed Case of Acute Hepatitis A Infection

Cureus. 2023 Nov 3;15(11):e48224. doi: 10.7759/cureus.48224. eCollection 2023 Nov.

Authors

Jordan C Malone¹, Ernesto Zamora², Joseph M Gosnell³, Heather L Stevenson³, Akshata Moghe⁴

Affiliations

¹ Department of Internal Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
² Department of Gastroenterology and Hepatology, University of Texas Medical Branch at Galveston, Galveston, USA.
³ Department of Pathology, University of Texas Medical Branch at Galveston, Galveston, USA.
⁴ Department of Gastroenterology and Hepatology, University of Texas Health Science Center at Houston, Houston, USA.

Abstract

Acute hepatitis A virus infection is routinely identified through a thorough patient history in conjunction with liver chemistries and viral serologies. The diagnosis has the potential to be delayed when the clinical picture is obscured with another, seemingly more urgent presenting pathology with overlapping features. Here, we describe the case of a young female who presented with acute calculous cholecystitis with concurrent acute hepatitis A virus infection.

Keywords: acute cholecystitis; anchoring bias; hav; hepatology; hyperbilirubinemia.

Publication types

Case Reports