Differential Diagnosis
- Other hepatitis viruses
- Other viral illnesses that frequently involve the liver
- Toxoplasmosis
- Rare causes of liver injury confused with viral hepatitis
- Many drugs and certain anesthetic agents
- Alcoholic hepatitis
- Acute cholecystitis
- Common duct stone
- Ascending cholangitis
- Carcinoma of the pancreas
- Other clinical constellations that may mimic acute hepatitis
- Right ventricular failure with passive hepatic congestion
- Hypoperfusion syndromes
- Shock
- Severe hypotension
- Severe left ventricular failure
- Any disorder that interferes with venous return to the heart
- Right-atrial myxoma
- Constrictive pericarditis
- Hepatic vein occlusion (Budd–Chiari syndrome)
- Veno-occlusive disease
- Disorders in pregnancy that may be confused with viral hepatitis
- Genetic or metabolic liver disorders
- Nonalcoholic fatty liver disease
- Cancers that metastasize to the liver (rarely present similarly to acute viral hepatitis)
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