Acute hepatitis in an 18-year-old returning traveller

An 18-year-old man was presented to the emergency department with symptoms of fever, abdominal pain, and jaundice. He had recently returned from Pakistan and had not received pretravel vaccinations. Blood work revealed liver abnormalities, and further testing confirmed acute hepatitis A (HAV) infection. The patient also tested positive for norovirus. He was treated with supportive care, intravenous fluids, and antiemetics. His liver function improved, but his bilirubin levels remained elevated. The patient was discharged with a prescription for ursodeoxycholic acid to manage his symptoms. Here, Jawad et al discuss the causes and management of acute hepatitis, emphasizing the importance of early consultation with a hepatologist for patients with worsening liver injury. They also highlight the need for HAV vaccination, especially for travelers to endemic regions and individuals with preexisting liver disease.