Abstract
A 58-year-old male with pyothorax had liver biopsy because of an abnormality found in liver scan. The histological findings of the specimen suggested acute viral hepatitis. Three days after, positive HB-Ag was revealed, and the patient's clinical course was that of a typical acute hepatitis.
Microscopically, scattered liver necrosis, either single cell or focal, was found throughout the lobuli, with the dissociations of hepatic cell cords. All the features of necrosis, including eosinophilic cell degeneration, acidophilic bodies and ballooning cells, were found. The infiltrated inflammatory cells consisted mainly of lymphocytes, but a few neutrophilic and eosinophilic leukocytes were also found in the parenchyma and portal triad. Ductulitis was present in portal area.
