{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:04:22Z","timestamp":1793325862253,"version":"4.5.0"},"reference-count":9,"publisher":"Michigan State University College of Osteopathic Medicine Statewide Campus System","issue":"3","license":[{"start":{"date-parts":[[2019,3,4]],"date-time":"2019-03-04T00:00:00Z","timestamp":1551657600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Hepatitis A is a common worldwide cause of acute hepatitis. It has been classically associated with epidemics and is increasingly prevalent in the developing world. Generally, the illness is self-limited and only requires supportive management, reassurance, and proper hygiene instructions. This case involves a male in his early 30s who presented non-emergently with jaundice and a weeklong history of fatigue, nausea, and flu-like symptoms. The patient underwent laboratory and radiological evaluation. Test results revealed a significant transaminitis, hyperbilirubinemia, and suggestion of cholecystitis. Further testing did reveal hepatitis A infection. This case illustrates the importance of clinicians having a high clinical suspicion for the disease based on individual risk factors as this disease can have a profound epidemiological impact in terms of local outbreaks and public health expenses.<\/jats:p>","DOI":"10.51894\/001c.7436","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T14:45:04Z","timestamp":1613400304000},"source":"Crossref","is-referenced-by-count":3,"title":["Hepatitis A: A Case Report Example of a Growing Epidemiological Threat"],"prefix":"10.51894","volume":"3","author":[{"given":"Adam","family":"Foster","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00rhtct89","id-type":"ROR","asserted-by":"publisher"}],"name":"McLaren Macomb","department":["Emergency Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Hernandez","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00rhtct89","id-type":"ROR","asserted-by":"publisher"}],"name":"McLaren Macomb","department":["Emergency Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29343","published-online":{"date-parts":[[2019,3,4]]},"reference":[{"key":"ref1","article-title":"Disorders of the Liver and Biliary Tract","author":"E.J. Haines","year":"2018"},{"key":"ref2","article-title":"Vaccines.gov. Hepatitis A"},{"key":"ref3","series-title":"Tintinalli's Emergency Medicine: A Comprehensive Study Guide","first-page":"525","article-title":"Hepatic Disorders","author":"S.R. O'mara","year":"2016","edition":"8th"},{"issue":"6","key":"ref4","article-title":"Clinical Factors and Viral Load Influencing Severity of Acute Hepatitis A","volume":"10","author":"H.W. Lee","year":"2015","journal-title":"PLoS ONE"},{"key":"ref5","article-title":"Michigan.gov. MDHHS Michigan Hepatitis A Outbreak"},{"key":"ref6","article-title":"Cdc.gov. Centers for Disease Control and Prevention: Viral Hepatitis"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1023\/A:1023981924010","article-title":"Economic impact of a hepatitis A epidemic in a mid-sized urban community: the case of Spokane","volume":"28","author":"L. Bownds","year":"2003","journal-title":"Washington. J Community Health"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"68","DOI":"10.4254\/wjh.v4.i3.68","article-title":"Hepatitis A: Epidemiology and prevention in developing countries","volume":"4","author":"E. Franco","year":"2012","journal-title":"World J Hepatol"},{"issue":"11","key":"ref9","first-page":"1027","article-title":"Hepatitis A","volume":"86","author":"J.E. Kingery","year":"2012","journal-title":"Am Fam Physician"}],"container-title":["Spartan Medical Research Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/smrj.scholasticahq.com\/article\/7436-hepatitis-a-a-case-report-example-of-a-growing-epidemiological-threat","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T12:47:02Z","timestamp":1750078022000},"score":1,"resource":{"primary":{"URL":"https:\/\/smrj.scholasticahq.com\/article\/7436-hepatitis-a-a-case-report-example-of-a-growing-epidemiological-threat"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,4]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.51894\/001c.7436","relation":{},"ISSN":["2474-7629"],"issn-type":[{"value":"2474-7629","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,4]]}}}