Acute liver failure by Influenza A: rare manifestation of a common problem

Mónica Camacho Arias^a, María Portillo Sánchez-Portal^b, Alicia Rodríguez Martínez^c, Olga Ordóñez Sáez^c, Iván Carabaño Aguado^d, Enrique Medina Benítez^d

^aServicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
^bSección de Gastroenterología, Hepatología y Nutrición infantil. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
^cSección de Cuidados Intensivos Pediátricos. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
^dSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.

Correspondence: M Camacho. E-mail: mcarias@salud.madrid.org

Reference of this article: Camacho Arias M, Portillo Sánchez-Portal M, Rodríguez Martínez A, Ordóñez Sáez O, Carabaño Aguado I, Medina Benítez E. Acute liver failure by Influenza A: rare manifestation of a common problem. Rev Pediatr Aten Primaria. 2020;22:e147-e151.

Published in Internet: 22-09-2020 - Visits: 8945

Abstract

Acute liver failure is a severe disease uncommon in children, that needs a multidisciplinar approach. In over a half of the patients the etiology is unknown. Nevertheless, remains very important for the management and prognosis to understand the main etiologies upon the group of ages. The causes may be divided in infectious, toxin/drug, metabolic, and autoinmune. Over the infectious etiologies the herpes virus and other hepatotropic viruses are the most frequent. However, respiratory viruses, and particularly Virus Influenza have been identified as potential cause of acute liver failure, in which the prognosis is significantly better. We report on a four-year-old girl who developed acute liver failure due to an influenza A infection with very good outcome.

Keywords

● Acute liver failure ● Flu

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