Sandfly fever virus as a rare cause of acute viral hepatitis.

Sandfly fever (SF) is one of the emerging arboviral diseases caused by sandfly fever viruses, which are transmitted to humans by the bite of phlebotomine sandflies. The disease is a self-limited febrile illness, and presents as a rapid onset of high fever, severe myalgia and arthralgia, headache, and in some cases photophobia, abdominal discomfort and nausea. An elevation in aminotransferases may be encountered during the course of the disease, but extremely high levels have been reported rarely. Herein, we report a diagnostic challenge with sandfly fever who presented with very high levels of aminotransferases and with the clinical and laboratory findings of typical acute viral hepatitis, which caused diagnostic confusion with the classical hepatotropic viruses. A 33-year-old female was admitted to the emergency service with fever malaise, anorexia, nausea, vomiting, and