Abstract
A 7-year-old male child presented with moderate degree fever, yellowish discoloration
of eyes and urine. Examination on admission revealed severe anemia, jaundice, hepatomegaly,
and splenomegaly. On the day following admission, the child showed evidence of blackish
discoloration of urine. The diagnosis was established as viral A hepatitis with glucose-6-phosphate
dehydrogenase (G6PD) deficiency. The child recovered with supportive therapy. We suggest
that either universal immunization against hepatitis A, or routine newborn screening
for G6PD deficiency, could prevent the serious morbidity or mortality that can occur
when these two conditions coexist.
Keywords
hepatitis - G6PD - viral - hemolysis - intravascular
