An uncommon cause of acute liver failure

Hepatitis A is an enterically transmitted virus that causes self limiting diarrheal illness in children and rarely in adults. It is a rare cause of acute liver failure in patients with underlying liver disease and older age people. This is a rare case of acute liver failure in a young healthy non alcoholic adult male. A 21 years male came with complaints of fever, jaundice and altered sensorium. History of nausea, weakness, loss of appetite, high coloured urine. On examination, patient was irritable, disoriented, icteric, not anemic, no lymphadenopathy. Investigations showed elevated bilirubin, liver enzymes, coagulopathy. IgM anti HAV positive, IgG anti HAV negative. Patient was treated with crystalloids, dextrose, mannitol, parenteral antibiotics, vitamin K, oral NAC, rifaximin. Patient was intubated. FFP transfused to correct coagulopathy. Patient succumbed to liver failure.