What viral infection can also cause acute hepatitis besides hepatitis viruses?

The correct answer is that Coxsackie virus is known to cause acute hepatitis in some cases, along with its more commonly recognized associations with viral illnesses like hand, foot, and mouth disease, myocarditis, and other general viral syndromes. Coxsackie viruses belong to the Enterovirus family, which can lead to liver inflammation in certain individuals, but this presentation is less common compared to hepatitis viruses such as hepatitis A, B, C, and others.

In this context, while other viral infections listed may impact the liver, they are not primarily associated with acute hepatitis in the same way. Norovirus is predominantly known for causing gastroenteritis and does not typically cause liver inflammation. HIV can lead to liver complications often through co-infection with hepatitis viruses or as part of the complex disease spectrum, but it does not directly cause acute hepatitis itself. EBV, known for causing infectious mononucleosis, can also involve the liver and result in liver enzyme elevations but is not primarily recognized as a common cause of acute hepatitis.

Understanding these nuances highlights the unique role of Coxsackie virus in this scenario, distinguishing it from other viral infections that are not typically linked to acute hepatitis.