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February 11, 1983

Concurrent Acute Infection With Hepatitis A and B

Author Affiliations

Zurbrugg Memorial Hospital Willingboro, NJ

JAMA. 1983;249(6):727-728. doi:10.1001/jama.1983.03330300019014

To the Editor.—  Acute viral hepatitis, whether type A, type B, or non-A-non-B, is a fairly well-characterized syndrome. The epidemiologic aspects of the various hepatitis viruses are constantly being more precisely elucidated.Acute type A hepatitis has been observed in institutionalized patients known to be carriers of the hepatitis B surface antigen (HBsAg). This is a report of two cases of serologically verified acute infection with both type A and type B hepatitis. The second patient as best can be documented was inoculated by the first.

Report of Cases.—Case 1.—  A 24-yearold woman was initially seen with a five-day history of jaundice, dark urine, and light stools. She admitted to the use of illicit intravenous (IV) drugs and the sharing of injection apparatus. She was heterosexually active before jaundice developed. There was no history of blood transfusion or prior clinical hepatitis. The examination was normal, except for obvious