Herpesviridae. A Young Man with Acute Liver Failure and Hemolysis

Abstract

In this case, we present a previously healthy young man with a short history of headaches and fever. He presented with liver and renal failure at admission and was transferred to the Intensive Care Unit. From initial examinations, a diagnosis of hepatitis and autoimmune hemolytic anemia was made. The cause was later confirmed as a primary Epstein Barr virus infection with associated hemolytic anemia. Renal failure required a short run of continuous renal replacement. Hemolysis was successfully treated with corticosteroid and immunoglobulin infusions. After stabilization, the patient was transferred to the nephrology unit and two weeks later was discharged home.