Keith J. Laskin, MD; Martin Black, MD
To the Editor: We recently saw a case of fulminant hepatitis A infection in a patient with a history of intravenous drug abuse. The recently reported outbreaks of hepatitis A in drug abusers (1, 2) and the apparently increased incidence of fulminant infection in this patient population suggest a need for close monitoring and aggressive care of what has previously been considered a relatively benign disease.
A 24-year-old nonalcoholic white woman at 24 weeks gestation was hospitalized with a 2-week history of fatigue, anorexia, and deepening jaundice. She had a history of intravenous amphetamine abuse, and two episodes of "infectious
Laskin KJ, Black M. Fulminant Hepatitis A in Intravenous-Drug Users. Ann Intern Med. ;110:845–846. doi: 10.7326/0003-4819-110-10-845_2
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Published: Ann Intern Med. 1989;110(10):845-846.
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