Acute liver failure probably due to hepatitis E: A diagnostic and therapeutic challenge

Background: Hepatitis E is endemic in some developing countries and may occur as imported or sporadic hepatitis in Hungary. This enterovirus-induced infection usually causes a self-resolving hepatitis; although, it may be fatal, especially in pregnant women. Case Report: We report here the case of a 54-year-old Hungarian woman who presented with painless jaundice 6 weeks after a journey in Turkey. There was no known liver disease in her history. The liver function tests showed a pronounced increase in conjugated bilirubin and marked increases in the serum aminotransferase levels (ASAT: 1795, ALAT: 1247U/l) with…