Lombardi A, et al. - Given the increasing number of cases of hepatitis A since summer 2016 that led to a large outbreak in 2017 involving mainly men who have sex with men (MSM) in the European Union, researchers consecutively collected all the hospitalized cases of hepatitis A referred to two tertiary centers in Northern Italy in 2017. They retrospectively analyzed the electronic records of the 2009-2016 period (pre-2017) in order to evaluate if MSM status or HIV infection influenced the disease. They identified 117 cases reported in 2017; 107 (91%) of these were male, 78 reported themselves as MSM (66%) and 17 (14.5%) were infected by HIV. They noted a higher number of patients with INR > 1.5 at admission among HIV-positive patients. Neither the clinical course nor the severity of hepatitis A was identified to be affected by MSM status and HIV infection.