How do you think about acute liver injury, pancytopenia, and fever in a young woman? We used Occam's razor to guide our ddx at Moffitt #AMreport and we came up with:
2/ A few hours after #AMreport, a diagnostic test returned... an HSV2 PCR positive at >1,000,000 ! This turned out to be a fascinating case of HSV2 hepatitis.
3/ HSV2 is responsible for <1% of acute liver injury; diagnosis of this rate entity is often delayed; see these case-based pearls for additional guidance! hindawi.com/journals/crihe…