Acute hepatitis

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis almost certain

Presentation

Fever and acute upper abdominal pain

Patient Data

Age: 50 years
Gender: Female
ultrasound

Diffuse gallbladder wall edema and periportal cuffing is noted on ultrasonography.

ct

Mild reduced attenuation of liver parenchyma with diffuse gallbladder wall edema and periportal edema is noted on CT images.

No ascites or lymphadenopathy.

Case Discussion

The patient showed altered liver function tests in the form of elevated alanine aminotransferase and bilirubin levels.

Serology was positive for cytomegalovirus and rest of the hepatitis viral markers were negative.

The patient was treated for acute infective viral hepatitis and discharged on clinical improvement.

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