A Very Rare Complication of Hepatitis A Infection: Acute Myocarditis—A Case Report with Literature Review

Table 4

Other reported cases of myocarditis in hepatitis A.

Author, year	Botero et al. [8], 2017	Park et al. [6], 2011	Jagtap et al. [7], 2008
Age, gender	10, M	33, F	19, M
Peak key liver laboratory values	AST = 378 U/L; ALT = 280 U/L; Bilirubin = 26.9 mg/dL	AST = 172 U/L; ALT = 214 U/L; Bilirubin = 3.7 mg/dL	ALT = 7080 U/L; Bilirubin = 9.2 mg/dL
Peak troponin	Not reported	2.17 ng/mL	Reported as “positive”
Cardiac symptoms	None reported	None reported	None reported
ECG changes	Bradycardia, low voltage, and 3rd-degree AV block	Sinus tachycardia and mild T wave inversions in II, III, aVF, and V2–V6	Sinus tachycardia
Ejection fraction	59%	52% with LV global hypokinesis	35% with septum and posterior wall severely hypokinetic
Time to resolution	5 days after liver transplant	9 days after admission	All investigations normal at one-month follow-up

AST =  aspartate aminotransferase; ALT =  alanine aminotransferase; ALP = alkaline phosphatase; F = female; M = male.