A Rare Complication of Hepatitis A in Child with Pleural Effusion: A Case Report from Nepal
Shailendra Kumar Yadav* and Pratibha Yadav
Case Presentation: A 5-years old boy, previously well, presented with a cough for 10 days, abdominal pain, and fever for the on and off types.
Case Discussion: After obtaining medical history and physical examination, the child was hemodynamically stable, with mild hepatomegaly and bilateral decreased breath sounds. Ultrasonography revealed moderate bilateral pleural effusion. Based on the investigation and clinical findings, a diagnosis was made, and supportive management was performed. Liver enzyme levels were corrected within three weeks and the pleural effusion disappeared after four weeks.
Conclusion: Pleural effusion is a rare extrahepatic complication of acute hepatitis A that spontaneously
resolves. This study is important because it reduces unnecessary invasive procedures such as pleural
tapping and patient transfer to a tertiary center for further management. Therefore, the management of
pleural effusion in children with jaundice should be considered in the differential diagnosis of Hepatitis A.