A case of a four-year-old boy from Salvador, Bahia, Brazil, with a probable Labrea hepatitis is reported. He ran a rapid course of fever, jaundice, abdominal pain, agitation, coma and death. Histologically, the liver presented widespread hepatic cell lytic and coagulative necrosis, acute fatty changes, mononuclear cell infiltration and cholestasis. The study of the case raises the question whether Lábrea hepatitis can occur outside the Amazonian region, or else its clinico-pathological features lack specificity.