Fulminant Hepatitis A with Favourable Outcome

Often benign, however, it can be severe in people who have never been vaccinated or previously infected with HAV, or who have chronic liver disease or an immunocompromised ground. It is closely associated with unsafe food and water, unsatisfactory sanitation conditions, poor personal hygiene, oral-anal sex, particularly among men who have sex with men (MSM), recreational drug use and travel to highly endemic areas without vaccination [1].