Severe (complicated) hepatitis A in Cotonou (Benin) concerning an incompletely vaccinated Spanish expatriate

Viral hepatitis A is a major cause of acute hepatitis in the world. Its progression can be fulminant. Generally, it does not usually pose a major health problem among people living in endemic areas, but can be an important source of morbidity for unvaccinated subjects from western countries travelling in highly endemic areas. We report a severe case of viral hepatitis A concerning a patient of Spanish origin, incompletely vaccinated and recently immigrated in Benin. Two months before hospitalisation, she had an elective cholecystectomy for symptomatic cholecystolithiasis.