Unusual cardiac manifestation of Hepatitis A virus infection in children – A case report

Khan, Ayub; Chakravarty, Aparna; Mohapatra, Jagannath

doi:10.32677/ijch.2020.v07.i12.008

Cited by 1 publication

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“…Atabek et al presented a 16-year-old adolescent patient with acute HAV infection because of bradycardia, hypotension, and progressive cholestasis developed in the patient and emphasized that this association was the first pediatric presentation [10]. Indeed, in the literature, cardiac involvement of HAV has not been documented in large series but in sporadic cases; we have reviewed some (Table 2) [9][10][11][12][13]. There was no finding suggestive of myocarditis in our patient.…”

Section: Discussionmentioning

confidence: 98%

Transient sinus bradycardia caused by hepatitis A virus: a case report

Kilicaslan

İşançlı

Fil

et al. 2022

Egypt Pediatric Association Gaz

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Background The most common cause of acute viral hepatitis is the hepatitis A virus (HAV). Millions of people are thought to be infected each year. It is transmitted either by the fecal-oral route or by consuming contaminated food. Extrahepatic complications, notably cardiologic ones, are infrequent. This case report was presented due to the development of HAV-related bradycardia without hypotension in an unvaccinated refugee patient. Case presentation A 9-year-old male presented with the complaint of jaundice and vomiting. There was no history of fever, diarrhea, or abdominal pain. A precise knowledge of suspected food intake is lacking. There was no pathological examination finding except jaundice. Total bilirubin, direct bilirubin, aspartate aminotransferase, and alanine aminotransferase levels were high. The coagulation test was normal. Anti-HAV-IgM/IgG was positive in the patient with suspicious viral hepatitis. In the follow-up, the heart rate decreased to 43 beats/min during sleep and 46 beats/min when awake. Cardiological examination and tests were within normal limits. Hypotension was not accompanied. In the follow-up, bradycardia and impaired liver function tests regressed. The patient was discharged on the 10th day. Conclusions Cardiologic complications are rare, and patients diagnosed with acute hepatitis A should be monitored. The most effective way of protection from the hepatitis A virus is vaccination.

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