Pediatric Hepatitis B Differential Diagnoses

Updated: May 14, 2021
  • Author: Nicholas John Bennett, MBBCh, PhD, FAAP, MA(Cantab); Chief Editor: Russell W Steele, MD  more...
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Diagnostic Considerations

Viral hepatitis shares certain clinical features with other viral diseases (eg, Epstein-Barr virus, herpes simplex, coxsackieviruses) and toxoplasmosis. These diseases elevate serum aminotransferase levels and, less commonly, serum bilirubin levels.

In addition, a complete drug history is particularly important because many drug and some anesthetic agents can produce a picture of acute hepatitis. Alcoholic hepatitis must also be considered in the differential. Acute hepatitis often is confused with acute cholecystitis, common duct stone, or ascending cholangitis.

See also Pediatric Hepatitis A, Pediatric Hepatitis C, and Viral Hepatitis.

Differential Diagnoses