CD40LG and hepatitis A virus infection: Both hepatotoxic mycotoxin contamination of grain-based foodstuffs [32] and hepatoxic pyrrolizidine-alkaloid ingestion as the result of Heliotropium lasocarpium contamination in wheat production [33-35] are well-described phenomena in the region; and at least one case of hepatitis associated with IgM anti-HEV antibodies has been described in a child, developing after starting dapsone and resolving after discontinuing the medication, suggesting drug-induced potentiation of hepatitis E [36].