Abstract
A 22-year-old male came with a history of fever which was low grade for 5 days associated with nausea and malaise. The family members noted yellowish discoloration of his eyes for last 3 days. The fever has subsided over the last 24 h but the patient has developed drowsiness and irrelevant behaviour for 1 day. There is no history of similar illnesses in the past. No history of alcohol intake, blood transfusions, major surgeries, tattooing, or illicit drug intake. No history of similar illnesses in the family or in a nearby locality. On clinical examination, he is deeply icteric. Per abdominal examination is unremarkable. There is presence of asterixis.
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Further Reading
Wendon J, et al. EASL clinical practical guidelines on the management of acute (fulminant) liver failure. J Hepatol. 2017;66(5):1047–81.
O’Grady J. Timing and benefit of liver transplantation in acute liver failure. J Hepatol. 2014;60(3):663–70.
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Singh, A., Roy, A., Singh, V. (2022). Acute Liver Failure. In: Singh, V., Roy, A. (eds) Clinical Rounds in Hepatology. Springer, Singapore. https://doi.org/10.1007/978-981-16-8448-7_2
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DOI: https://doi.org/10.1007/978-981-16-8448-7_2
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