Acceso usuarios
Marina Martín Pérez, Inmaculada Callejas Gil, Irene Uldemolins Gómez
Paciente varón de 22 años acude a urgencias por ictericia, malestar general y fiebre de una semana de evolución. Acompañado de coluria y acolia. Como antecedentes de interés destaca consumo de tóxicos vía inhalada (Marihuana) y consumo de alcohol. En la analítica sanguínea destaca aumento de bilirrubina total a expensas de bilirrubina directa, y y aumento de transaminasas. En la ecografía abdominal no se aprecian hallazgos de patología aguda de la vía biliar, por lo que se decide ingreso ante la sospecha de hepatitis vírica. Durante el ingreso se confirma serología positiva para virus de la hepatitis A siendo dado de alta tras unos días con tratamiento sintomático y fluidoterapia intravenosa.
A 22-year-old man came to the emergency department with icterus, malaise, and fever for one week, with choluria and acholia. His medical history of interest included inhalant toxicity (marijuana) and alcohol consumption. Blood tests revealed elevated total bilirubin, with an increase in direct bilirubin, and elevated transaminases. An abdominal ultrasound revealed no signs of acute biliary tract disease, and the decision was made to admit him due to suspected viral hepatitis. During admission, a positive serology for hepatitis A virus was confirmed, and he was discharged after a few days with symptomatic treatment and intravenous fluid therapy.
