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A Teenager Presents With Fulminant Hepatic Failure and Acute Hemolytic AnemiaFulminant Hepatic Failure and Hemolytic Anemia

Somnath Bose, MD; Abraham Sonny, MD; Nadeem Rahman, MD
Author and Funding Information

From Critical Care Anesthesiology (Dr Bose), Outcomes Research (Dr Sonny), and Cleveland Clinic Lerner College of Medicine (Dr Rahman), Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, OH.

CORRESPONDENCE TO: Somnath Bose, MD, Critical Care Anesthesiology, Anesthesiology Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, G-58, Cleveland, OH 44195; e-mail: somnathbose@gmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(3):e100-e104. doi:10.1378/chest.14-1391
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A teenager was admitted to an outside hospital ED following an episode of melena. He had been complaining of intermittent abdominal pain, nausea, malaise, and easy fatigability for 2 months, with significant worsening of symptoms 2 weeks prior to this episode. He had no significant medical, surgical, or family history. On presentation at the outside ED, he was found to be profoundly icteric and encephalopathic. Initial laboratories suggested anemia, acute kidney injury, and acute liver failure, leading to a presumptive diagnosis of acute fulminant liver failure necessitating transfer to our institution.

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