case of chronic liver disease. HEV induced or cryptogenic?

ABSTRACT

Hepatitis E virus [HEV] infection is known to cause epidemic outbreaks as well as sporadic disease in many parts of the world. Clinical presentation of hepatitis E varies from acute icteric viral hepatitis to severe disease with fulminant hepatic failure, and anicteric infection [no jaundice but with ALT elevation]. According to available data HEV infection does not lead to chronic liver failure. We are reporting a case of 37 years old army soldier who was admitted as a case of HEV induced acute viral Hepatitis. Later he was found to have chronic liver disease [CLD] with persistence of HEV antibodies and absence of any other detectable cause of CLD