My 15 y/o daughter, almost never ill, became very ill this last weekend after a sleepover at a friend's house. She came home Sat morning vomiting and with diarrhea. She continued to vomit Sun and Mon and could not keep down water for more than 1/2 hour or so. Negligible and intermittent fever to 101 F, no diarrhea after Sat morning, no abdominal tenderness, no yellowness. I took her to the emergency room on Tues, concerned about dehydration and continuing vomiting. Some vomitus was green (like pistachios or a little darker). I think alcohol and drugs are not likely and she denied ingesting any (I'm no Pollyanna, but I think she's being truthful) and she also denies sexual contact (which I also find believable).
The ER doctor pronounced hepatitis. I'm very surprised since she's been vaccinated for both A & B types. The ER did not test for Hep A or B, I think, but her bloodwork is suggestive:
ALT 8362 (extremely high)
AST 6245 (extremely high)
Bun 19 (high)
Bilirubin total 1.5 (high)
Neutrophils 81.4 (high)
Lymphocytes 8.2 (low)
Prothrombin time 13.6 (high)
She is home sleeping now after 11 hours in the ER. Any helpful thoughts out there?
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