COVID-19 WITH ACUTE HEPATITIS AS AN INITIAL PRESENTATION: A CASE REPORT

Dr. Pyntyllilang Sanmiet*, Dr. Isaac Shira and Dr. Larihundashisha Wanniang

ABSTRACT

The novel corona virus infection named as COVID-19 that mainly affects respiratory system also affects multiple organs including the liver. The main host receptor for SARS-CoV2, angiotensin-converting enzyme 2(ACE2) is highly expressed in cholangiocytes in the endothelial layer of small blood vessels. The most common symptoms are fever, cough, fatigue, shortness of breath, myalgia, sore throat, diarrhoea, loss of smell and taste etc. We are presenting a 40yr old female with history of pain and discomfort in the upper right side of the abdomen with nausea and vomiting and decreased appetite. The patient was a known case of hypothyroidism and had received her 1st dose of covid vaccine. She was diagnosed as Covid-19 infection with Acute Hepatitis by laboratory findings. She was treated as per Covid protocol with special reference to liver function test findings and was discharged after becoming hemodynamically stable with improvement in liver function test results.

Keywords: COVID-19, COVID-19 Vaccines, Liver injury in COVID-19 infection.