# Concomitant Occurrence of Hepatitis A and a Pyogenic Liver Abscess: A Pediatric Case

## TL;DR

A five-year-old child had both a liver abscess and hepatitis A, highlighting the need to consider dual infections in similar cases.

## Contribution

This is the first reported case of pyogenic liver abscess co-occurring with hepatitis A in a pediatric patient.

## Key findings

- The patient presented with jaundice, fever, and abdominal pain due to a complicated liver abscess and hepatitis A.
- Co-infection may worsen clinical outcomes, emphasizing the importance of early diagnosis in endemic regions.
- Dual infections can be missed due to overlapping symptoms, requiring careful clinical evaluation.

## Abstract

Pyogenic liver abscess (PLA) and hepatitis A are common in developing countries. As there is an overlap of clinical features, a diagnosis of dual infection can be missed. Here, we present the case of a five-year-old male who presented with abdominal pain, fever, and jaundice diagnosed as a complicated liver abscess with concurrent hepatitis A. To our knowledge, this is the first case where a PLA co-existed with hepatitis A. Simultaneous infection should be considered when a patient with liver abscess presents with jaundice, especially in areas where both diseases are endemic. Early diagnosis of both is crucial as PLA is a potentially fatal disease and co-infection with hepatitis A may worsen clinical outcomes.