scholarly journals Hepatitis E: A Newcomer to the Hepatitis Alphabet – Case Report and Review of the Literature

1995 ◽  
Vol 6 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Karl Weiss ◽  
Louise Poirier ◽  
Sylvain Varin ◽  
Claire Beliveau ◽  
Michel Laverdière

The first Canadian case of hepatitis E is described in a patient who travelled to Asia for a six-month period and spent most of his time in India. Hepatitis E shares some similarities with hepatitis A, notably the mode of transmission and the absence of chronic course. However, a few important differences have been noted, including a higher mortality rate and a high fatality rate in pregnant women. Hepatitis E is very common in developing countries and should be suspected more often in individuals with gastrointestinal complaints returning from endemic areas.

2019 ◽  
Vol 6 (2) ◽  
pp. 588 ◽  
Author(s):  
Shikha Handa ◽  
Sanober Wasim ◽  
B. P. Kalra ◽  
Anil Rawat ◽  
Vipan Chandar ◽  
...  

Background: Hepatitis-A virus (HAV) and Hepatitis E virus (HEV) are two major hepatotropic viruses of great public health importance in the developing countries like India. Both HAV and HEV are enterically transmitted and there are speculations that their co-infection might be associated with a more severe clinical course and increased rate of mortality. The objective of this study is to determine the prevalence, clinical features and biochemical parameters of Hepatitis A and Hepatitis E co-infection in hospitalized patients at a tertiary care centre in Uttarakhand.Methods: It is a retrospective study, covering a period of 4years and conducted in Himalayan Institute of Medical Sciences, SRHU Jolly Grant, Dehradun. Records of the patients with Hepatitis A and Hepatitis E co-infection were retrieved and analyzed.Results: Out of total 125 patients of acute viral hepatitis, 13 patients had HAV and HEV co-infection. 100% of the patients with co-infection presented with complaints of fever and jaundice, followed by 76.92% with vomiting, 69.23% with pruritis, 61.53% with pain in abdomen and 23.07% with altered sensorium. Mean Bilirubin, ALT, AST were 8.69±7.27 mg/dl, 2030.69±1726.93IU/L and 1880.07±1881.11IU/L respectively. Average duration of stay was 8.2 days. Encephalopathy was seen in 2 patients. However, no mortality was reported.Conclusions: Co-infection of HAV and HEV is not rare in pediatric age group. Knowledge about this will be of immense help for planning of future vaccination strategies and for better sanitation program in developing countries like India.


2021 ◽  
Vol 10 (3) ◽  
pp. 160-166
Author(s):  
Azka Rizvi ◽  
Naveed Ahmed ◽  
Ayesha Naeem ◽  
Waqas Saleem ◽  
Muhammad Ilyas ◽  
...  

Background: The aim and objectives of the study were to determine the knowledge, attitude and practices among biological and non-biological students regarding Hepatitis A virus (HAV) and Hepatitis E virus (HEV). Methods: The present study was conducted by the Department of Microbiology, Pakistan kidney & liver institute and research center (PKLI & RC) at University of Veterinary and Animal Sciences (UVAS), Lahore, Pakistan. The study was conducted in November, 2019 to January, 2020. A total of 326 respondents (students) participated in the present study. Respondents filled a pre-tested structured questionnaire. The variables accessed were knowledge of the diseases including etiology, mode of transmission, and prevention and control measures. Results: Most 81.56% of respondents from biological sciences (B-S) group and 51.70% from non-biological sciences (N-B-S) had awareness about HAV/HEV. Furthermore, 72.06% of respondents from BS group and 13.60% of respondents from NBS group had knowledge about the mode of transmission and spread of HAV and HEV infection. Only 16.20% of students from B-S group were aware about importance of vaccination against HAV/HEV. While a very low prevalence was found about vaccination in N-B-S group that is only 4.76%. Conclusion: The study shows significance difference in the awareness level among students from biological sciences and non-biological sciences background. Respondents were found to misunderstand the hepatitis A & E infections with hepatitis B & C, which suggests that there is need to spread awareness about the differences in their spread and severity of these infections. Awareness campaigns should be conducted to make people aware of the ways HAV/HEV spreads, its mode of transmission, severity of infection and preventive measures to minimize its spread as well as chances to acquire HAV/HEV infections.


Cephalalgia ◽  
2020 ◽  
Vol 40 (12) ◽  
pp. 1385-1388
Author(s):  
Stefan Evers ◽  
Oliver Summ ◽  
Achim Frese

Background Trigemino-autonomic cephalalgias are very rare disorders and even rarer in children and adolescents. We report the onset of paroxysmal hemicrania in a very young girl and reviewed the scientific literature for similar cases. Findings We describe the case of a 1.6-year-old girl with left-sided headache attacks fulfilling the criteria of paroxysmal hemicrania including prompt responsiveness to indomethacin. In addition, we detected at least two children for every trigemino-autonomic cephalalgias subtype with an age of under 7 years at the onset of the trigemino-autonomic cephalalgias. Remarkable features were a vast majority of chronic course from onset on and left-sided attacks. Conclusion Although very rare, trigemino-autonomic cephalalgias can occur even in very young children under the age of 6 years. This should be known in neuropaediatrics.


2013 ◽  
Vol 1 (2) ◽  
pp. 103-105
Author(s):  
A Nepal ◽  
R Acharya ◽  
AR Ojha ◽  
S Sah

Enteric fever is a common cause of morbidity and hospital admission in developing countries. This can sometimes be complicated by rare complications like hepatitis. One should be careful when selecting antibiotics like ceftriaxone in such children which can cause biliary stasis. Our case of enteric hepatitis treated with ceftriaxone developed a prolonged jaundice with biliary stasis as a result of antibiotic therapy. DOI: http://dx.doi.org/10.3126/jkmc.v1i2.8147 Journal of Kathmandu Medical College, Vol. 1, No. 2, Oct.-Dec., 2012: 103-105


1993 ◽  
Vol 4 (1) ◽  
pp. 38-44
Author(s):  
Hiroyuki Kato ◽  
Gakusen Nishihara ◽  
Keizou Ohmori ◽  
Toshiaki Sunaga ◽  
Osamu Tokunaga

1986 ◽  
Vol 24 (3) ◽  
pp. 373-380 ◽  
Author(s):  
Lee Schacter ◽  
Edward Crum ◽  
Thomas Spitzer ◽  
John Maksem ◽  
Visu Diwan ◽  
...  

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