Diagnosis
Inflammation of the liver.
Epidemiologic Risks
Depends on the etiology, many infections can involve the liver, the main ones being viral.
Microbiology
Brucellosis, Cytomegalovirus, Epstein-Barr virus, Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E, Herpes simplex virus, Leptospirosis, Lyme disease, Q fever, Syphilis (especially in HIV), Yellow fever at a minimum, the number of infections that can acutely involve the liver is, well, all of them. Just about.
Empiric Therapy
It depends on the infection.
Pearls
In HIV patients with unexplained increased ALT, chronic Hepatitis E was found in 2.6%, so it wasn't so unexplained, was it?
Rants
Do not forget your damn vaccines. Have you had your A? Your B? No? More the fool you.
Last update: 08/06/16