Dual infection with hepatitis A and E virus presenting with aseptic meningitis: A case report

We report the case of a young male who presented with features of aseptic meningitis and elevated serum liver enzymes, but no symptom:: or signs suggestive of an acute hepatitis. Subsequently, he was diagnosed with dual infection with hepatitis A and E viruses, and recovered completely with symptomatic therapy. Isolated aseptic meningitis, unaccompanied by hepatitic features is an unusual presentation of a hepatotrophic viral infection, and is yet to be reported with hepatitis A and E virus co-infection.