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Hepatitis A (HAV) has emerged in outbreaks across the United States particularly in at-risk populations such as men who have sex with men, as well as patients with a history of drug use, homelessness, and incarceration. Immunization among these high-risk populations remains underused. In this study, we describe a case of acute HAV and hepatitis B (HBV) coinfection in an MSM patient occurring in the period of these outbreaks. Clinical resolution of acute HAV and HBV coinfection was attained by 5 months from the time of initial hospitalization without viral hepatitis treatment. This case highlights the need for increased awareness of at-risk populations for HAV and HBV infection in promoting guideline-based vaccination efforts. Initial evaluation was also negative for anti-smooth muscle antibody, rheumatoid factor, Cytomegalovirus IgM, Epstein-Barr virus DNA polymerase chain reaction, HSV1/2 IgM, and HIV Ag/Ab/RNA. He denied any medications nor supplement ingestion to suggest drug-induced liver injury. Abdominal ultrasound was normal with no biliary dilation seen to suggest extrahepatic