Fulminant hepatitis is a rare complication of acute hepatitis A infection.Nevertheless, the seroepidemiology of the infection is rapidly changing with the developing world, rendering more adults susceptible to the infection, in particular with more severe course.We report here fulminant hepatitis A infection with ALIVE CALCIUM GUMMIES W D3 a mortal course during an epidemic period in two siblings.Although it causes a self-limited mild disease, hepatitis A virus footwear may have a severe course including fulminant hepatitis and may lead to mortality, especially in older ages.
Hence, the risk of hepatitis A virus infection and its complications should be reduced with measures of immunization and sanitation.