A Patient with Acute Liver Failure Due to Acute Hepatitis A

Ike Rahayu Widuri, Iswan Abbas Nusi, Poernomo Boedi Setiawan, Herry Purbayu, Titong Sugihartono, Ummi Maimunah, Ulfa Kholili, Budi Widodo, Muhammad Miftahussurur, Husin Thamrin, Amie Vidyani

Abstract

A 21-year-old male patient was admitted to the Emergency room of Dr. Soetomo General Hospital with a chief complaint of decrease in consciousness. Jaundice and mental status changes were found. Laboratory testing showed hyperbilirubinemia, progressive rise in serum alanine and aspirate aminotransferase levels, rise in prothrombin time and International Normalized Ratio (INR), positive IgM anti HAV. Diagnosis of this patient was acute liver failure due to acute hepatitis A. The patient was treated treatment with O2 nasal 3-4 lpm, a low-protein diet, fluid therapy including NaCl 0.9%, dextrose 10% and Branch Chain Amino Acids (BCAA), inj. ranitidine 2x1 amp, vitamin K 3x1 amp, FFP transfusion 10 cc/kg (first hour) followed by 1 cc/hour, lactulose syrup 4x30 cc, L-ornithine-L-aspartate 4 ampoule/PZ 100 cc for 4 hours. The patient was discharged in good condition. Three weeks later, the patient was monitored at the outpatient clinic, and jaundice was not found.

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Paper Citation


in Harvard Style

Widuri I., Nusi I., Setiawan P., Purbayu H., Sugihartono T., Maimunah U., Kholili U., Widodo B., Miftahussurur M., Thamrin H. and Vidyani A. (2017). A Patient with Acute Liver Failure Due to Acute Hepatitis A.In Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM, ISBN 978-989-758-334-6, pages 389-396. DOI: 10.5220/0007322103890396


in Bibtex Style

@conference{imrm17,
author={Ike Rahayu Widuri and Iswan Abbas Nusi and Poernomo Boedi Setiawan and Herry Purbayu and Titong Sugihartono and Ummi Maimunah and Ulfa Kholili and Budi Widodo and Muhammad Miftahussurur and Husin Thamrin and Amie Vidyani},
title={A Patient with Acute Liver Failure Due to Acute Hepatitis A},
booktitle={Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,},
year={2017},
pages={389-396},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007322103890396},
isbn={978-989-758-334-6},
}


in EndNote Style

TY - CONF

JO - Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,
TI - A Patient with Acute Liver Failure Due to Acute Hepatitis A
SN - 978-989-758-334-6
AU - Widuri I.
AU - Nusi I.
AU - Setiawan P.
AU - Purbayu H.
AU - Sugihartono T.
AU - Maimunah U.
AU - Kholili U.
AU - Widodo B.
AU - Miftahussurur M.
AU - Thamrin H.
AU - Vidyani A.
PY - 2017
SP - 389
EP - 396
DO - 10.5220/0007322103890396