TY - JOUR
T1 - Rare cause of acute hepatitis
T2 - A common energy drink
AU - Harb, Jennifer Nicole
AU - Taylor, Zachary A.
AU - Khullar, Vikas
AU - Sattari, Maryam
N1 - Publisher Copyright:
© 2016 BMJ Publishing Group Ltd.
PY - 2016
Y1 - 2016
N2 - A previously healthy man aged 50 years presented with malaise, anorexia, abdominal pain, nausea, vomiting, generalised jaundice, scleral icterus and dark urine. He was not on any prescription or over-the-counter medications, but reported drinking 4-5 energy drinks daily for 3 weeks prior to presentation. Physical examination revealed jaundice and right upper quadrant abdominal tenderness. Laboratory studies were remarkable for transaminitis and evidence of chronic hepatitis C infection. Ultrasound scan demonstrated an echogenic liver and diffuse gallbladder wall thickening. Liver biopsy showed severe acute hepatitis with bridging necrosis and marked cholestasis. The patient was treated supportively with complete resolution of his symptoms and marked improvement in his laboratory abnormalities. The development of acute hepatitis in this patient was likely secondary to excessive energy drink consumption. Energy drinks as well as other herbal/over-the-counter supplements should be considered by clinicians in the workup of patients with acute hepatitis, particularly once other aetiologies have been excluded.
AB - A previously healthy man aged 50 years presented with malaise, anorexia, abdominal pain, nausea, vomiting, generalised jaundice, scleral icterus and dark urine. He was not on any prescription or over-the-counter medications, but reported drinking 4-5 energy drinks daily for 3 weeks prior to presentation. Physical examination revealed jaundice and right upper quadrant abdominal tenderness. Laboratory studies were remarkable for transaminitis and evidence of chronic hepatitis C infection. Ultrasound scan demonstrated an echogenic liver and diffuse gallbladder wall thickening. Liver biopsy showed severe acute hepatitis with bridging necrosis and marked cholestasis. The patient was treated supportively with complete resolution of his symptoms and marked improvement in his laboratory abnormalities. The development of acute hepatitis in this patient was likely secondary to excessive energy drink consumption. Energy drinks as well as other herbal/over-the-counter supplements should be considered by clinicians in the workup of patients with acute hepatitis, particularly once other aetiologies have been excluded.
UR - http://www.scopus.com/inward/record.url?scp=84995493856&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84995493856&partnerID=8YFLogxK
U2 - 10.1136/bcr-2016-216612
DO - 10.1136/bcr-2016-216612
M3 - Article
C2 - 27803015
AN - SCOPUS:84995493856
SN - 1757-790X
VL - 2016
JO - BMJ case reports
JF - BMJ case reports
M1 - bcr-2016-216612
ER -