Key result
A 79-year-old woman with acute hepatitis E developed life-threatening acute myocarditis and decompensated heart failure, which resolved following supportive care.
Why the study?
Hepatitis E is primarily hepatotropic, but rare extrahepatic manifestations can occur, prompting the report of an unusual presentation.
Case Report (n=1)
No
Benign self-limiting acute hepatitis E can be complicated by life-threatening acute myocarditis leading to decompensated heart failure, even in elderly patients.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to myocarditis risk in hepatitis E with cardiac symptoms; leaves open true incidence and mechanisms.
Hepatitis E is a common, mainly water-borne hepatotropic virus prevalent mainly in Southeast Asia, Africa, the Middle East, and Central America. In the eastern part of India epidemics of acute hepatitis E are well reported. Hepatitis E commonly presents as self-limiting acute viral hepatitis among young adults, except for some critical clinical complications during pregnancy. In epidemiological research, subclinical acute hepatitis E infection is also reported from different parts of the world, including developed nations such as the USA (predominantly in the population aged >60 years). Though primarily hepatotropic, in the literature there are reports of rare extrahepatic manifestation of acute hepatitis E. Here we present an elderly lady with acute hepatitis E who primarily presented with acute myocarditis.
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Sengupta et al. (2019) conducted a case report in Hepatitis E-Induced Acute Myocarditis (n=1). Hepatitis E infection was evaluated on Clinical recovery. A 79-year-old woman with acute hepatitis E developed life-threatening acute myocarditis and decompensated heart failure, which resolved following supportive care.
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