A Rare Case of Acute on Chronic Liver Failure Triggered by Chikungunya Virus
Mamun Al Mahtab *
Department of Hepatology, Bangladesh Medical University, Dhaka, Bangladesh.
Md. Abdur Rahim
Department of Hepatology, International Medical College, Gazipur, Bangladesh.
Rokshana Begum
Department of Hepatology, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.
Ahmed Lutful Moben
Kurmitola General Hospital, Dhaka, Bangladesh.
Sheikh Mohammad Noor E Alam
Department of Hepatology, Bangladesh Medical University, Dhaka, Bangladesh.
Sheikh Mohammad Fazle Akbar
Ehime University, Ehime, Japan, Oita University, Oita, Japan, Miyakawa Memorial Research Foundation, Tokyo, Japan.
*Author to whom correspondence should be addressed.
Abstract
Chikungunya is generally considered as a benign, self-limiting viral infection, which rarely involves liver, kidney, heart and nervous system. Hepatic involvement is usually in the form of mild, self-limiting asymptomatic acute hepatitis with minimal derangement of liver function. However, in uncommon circumstances the disease can lead to acute liver failure. Here we present a rare case of Chikungunya-induced acute on chronic liver failure from Bangladesh.
Keywords: Chikungunya, hepatitis, acute on chronic liver failure, self-limiting viral infection