| Summary points: | An immunocompetent, previously healthy 19-year-old presents with nonspecific fatigue, fever, and abdominal pain followed 3 days later with inflammation and pain around a recent tongue piercing. This case report follows the laboratory and radiological findings, the patient's outcome, and autopsy findings, and includes several images. The authors review the literature on fulminant hepatitis due to herpes simplex virus in immunocompetent adults, clinical features, and diagnostic measures. |