Fulminant hepatic failure due to herpes simplex after hysteroscopy.
Journal Article (Journal Article)
BACKGROUND: Fulminant hepatic failure due to herpes simplex in healthy adults is a rare condition with a high mortality rate. The lack of specific symptoms and the absence of typical herpetic lesions in a majority of cases contribute to delayed diagnosis. CASE: We describe a fatal case of fulminant hepatic failure due to herpes simplex in a healthy woman presenting after laparoscopy and hysteroscopy for tubal infertility. The patient lacked evidence of mucocutaneous lesions or jaundice. The surgery likely contributed to viral dissemination. CONCLUSION: Although rare, disseminated herpes should be considered a possible cause of postsurgical pelvic infections, even in the absence of ulcerative lesions. Until a definitive diagnosis is made, antiviral therapy should be considered in patients with high fever, leukopenia, and abnormal liver function.
Full Text
Duke Authors
Cited Authors
- Price, TM; Harris, JB
Published Date
- November 2001
Published In
Volume / Issue
- 98 / 5 Pt 2
Start / End Page
- 954 - 956
PubMed ID
- 11704219
Pubmed Central ID
- 11704219
International Standard Serial Number (ISSN)
- 0029-7844
Digital Object Identifier (DOI)
- 10.1016/s0029-7844(01)01511-3
Language
- eng
Conference Location
- United States