Acute Hepatitis Due to Co-infection with Hepatitis A and Epstein-Barr Virus

Hepatitis A viral infection is a common illness across the globe, particularly among the pediatric population. In 30% of infected children below 6 years, it presents as symptomatic hepatitis. Epstein-Barr virus (EBV) infections are common in early childhood and cause infectious mononucleosis in young adolescents. Primary EBV infection presentation as isolated hepatitis without infectious mononucleosis (IM) syndrome is very rare. In tropical countries, co-infections are common. We report acute hepatitis due to dual infection of hepatitis A and EBV in an 8-year-old child.