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 Case Report
												Fulminant Hepatic Failure Resulting from Coexistent Wilson�¢����s Disease,
Hepatitis E and Herbal Medication: A Case Report 						
Author(s): Baliga  Kiran, Pradyum  Ram, Baliga  BS, Rajesh  SM and Kini  PrashantBaliga  Kiran, Pradyum  Ram, Baliga  BS, Rajesh  SM and Kini  Prashant             
						
												
				 Infection with hepatitis A virus can cause severe or even fatal illness in patients with chronic liver disease. Here we describe a ten-year-old girl who presented as acute liver failure and was diagnosed with Wilson’s disease and later with coexistent hepatitis E infection. Wilson’s disease was demonstrated on the basis of Kayser Fischer ring, low ceruloplasmin, and high urinary copper excretion. Hepatitis E was diagnosed serologically with a positive anti HEV IgM titers. Our case suggests that acute hepatitis E may play a part in the acute decompensation seen in some cases of unrecognized Wilson’s disease. The patient gradually deteriorated and died in a period of 3 months.
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												DOI:
												 10.4172/2165-7920.1000526 
																	  
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report