Report of a case with fulminant hepatitis a associated with acute renal failure

A 34-year-old male presented with fulminant hepatitis A associted with acute renal failure. The patient was admitted four days after flulike symptoms developed. Physical examination was unremarkable except for icteric sclerae. Laboratory studies showed SGOT 10719 U/l, SGPT 5780 U/l, prothrombin time 22%, BUN 25.5 mg/dl, and creatinine 2 mg/dl. Serum complements were within normal ranges, and circulating immune complexes were not detected. Anti-HAV IgM was positive.