Acute liver failure results from liver damage and may have drug and viral etiology. In addition, acute kidney injury is a common
clinical syndrome in the hospital environment and is often associated with pulmonary manifestations, such as pleural effusion.
This is a case report of a female patient with a past medical history of thyroid tumor resection 5 years ago, associated with
hypothyroidism and depression. In August 2019, she was hospitalized for myalgia and fever, associated with right upper
quadrant abdominal pain and choluria. The patient had a series of complications, such as liver and kidney dysfunction, which
will be reported below.