Acute renal failure requiring hemodialysis therapy in a non-fulminant hepatitis A infection

Renal involvement in association with hepatitis B and hepatitis C infection s is well-described. It is well known, that cases of fulminant hepatitis ar e often associated with an acute renal failure. However, acute renal failur e complicating a non-fulminant hepatitis A is a rare event. We present the case of a 48-year-old, previously healthy male patient with a non-fulminant hepatitis A, aquired during an endemy in the northern Miinsterland distric t in Germany, who developed an anuric acute renal failure, requiring dialys is therapy. Due to the clinical course and the laboratory data the developm ent of acute renal failure in this case may have been caused by a tubulo-in terstitial lesion.