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Unusual presentation of more common disease/injury
CASE REPORT
Acute hepatitis E infection as a cause of unexplained neurological symptoms
  1. Lauren Blayney1,
  2. Paul Morrish2
  1. 1Bristol Medical School, University of Bristol, Bristol, UK
  2. 2Department of Neurology, Great Western Hospitals NHS Foundation Trust, Swindon, UK
  1. Correspondence to Lauren Blayney, lb14048{at}my.bristol.ac.uk

Summary

Neurological disease is the most common extrahepatic manifestation of autochthonous infection with hepatitis E virus (HEV). The association between acute neurological symptoms and hepatitis E is not well known, and hence HEV testing is often omitted. This case describes aberrant neurology in a 35-year-old woman with a background of HEV infection, highlighting the need for increased awareness of acute hepatitis E infection as a cause of unexplained neurological illness.

  • hepatitis other
  • hepatitis and other gi infections
  • neurology
  • infection (neurology)

https://doi.org/10.1136/bcr-2018-224236

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    Footnotes

    • Contributors This interesting case was brought to LB’s attention by a consultant at the teaching hospital in which LB was placed. LB took a detailed history from the patient and originally drafted the report. PM then assisted in revising the report, providing insight into the patient’s clinical manifestation, differentials and investigations.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.