Article Text

Download PDFPDF

CASE REPORT
Rare cause of acute hepatitis: a common energy drink
  1. Jennifer Nicole Harb1,
  2. Zachary A Taylor2,
  3. Vikas Khullar3,
  4. Maryam Sattari4
  1. 1Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA
  2. 2Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA
  3. 3Division of Gastroenterology, Hepatology, & Nutrition, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA
  4. 4Division of General Internal Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA
  1. Correspondence to Dr Jennifer Nicole Harb, jennifer.harb{at}medicine.ufl.edu

Summary

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.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

View Full Text

Statistics from Altmetric.com

Supplementary materials

  • HTML Page - index.htslp

    Files in this Data Supplement:

Footnotes

  • Contributors The authors JNH, ZAT, VK and MS have contributed sufficiently to the project and have met all criteria to be included as authors. All authors have no relevant financial interest in this manuscript and no activities, affiliations or relationships to disclose. All authors have not published or submitted any related papers from the same study.

  • Competing interests None declared.

  • Patient consent Obtained.

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

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.