Acute viral hepatitis B complicated by acute pancreatitis.

Majority of acute viral hepatitis cases resolve spontaneously in due course of time. Few cases that develop acute liver failure are prone to develop various complications, including acute pancreatitis. However, development of acute pancreatitis in patients with uncomplicated acute viral hepatitis is very rare and extremely rare in case of Acute Hepatitis B. In this case, a young boy with acute non-fulminant hepatitis B developed acute moderately severe pancreatitis, diagnosed by clinical, enzymatic and radiological features. He was managed conservatively and improved. Acute pancreatitis must be considered in patients with acute viral hepatitis who develop abdominal pain.Bangladesh Journal of Medical Science Vol.16(3) 2017 p.455-457

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The pharmacotherapy of acute viral hepatitis b: a clinical pharmacist's view

Acta Medica Leopoliensia ◽

10.25040/aml2020.04.029 ◽

2020 ◽

Vol 26 (4) ◽

pp. 29-38

Author(s):

O.Yu. Horodnycha ◽

◽

T.B. Ryvak ◽

Keyword(s):

Hepatitis B ◽

Acute Hepatitis ◽

Viral Hepatitis ◽

Pharmaceutical Care ◽

Acute Viral Hepatitis ◽

Case Reports ◽

Drug Related Problems ◽

Rational Pharmacotherapy ◽

Acute Hepatitis B ◽

Viral Hepatitis B

Aim. To conduct the analysis and estimation of acute viral hepatitis B pharmacotherapy through identification of drug-related problems; to form a list of recommendations with elements of pharmaceutical care concerning some aspects of acute viral hepatitis B pharmacotherapy. Materials and Methods. The objects of research: 27 medical records of patients with acute viral hepatitis B who were hospitalized to one of Lviv City Hospitals in the first quarter of 2016; medical and technological documents on acute viral hepatitis B management; results of clinical research and clinical case reports; The Pharmaceutical Care Network Europe classification (version 5.01) for drug-related problems. Methods: systemic approach, clinical-pharmaceutical, clinical-pharmacological, statistical, and analytical. Results and Discussion. All patients with acute hepatitis B received only pathogenetic and/or symptomatic pharmacotherapy which corresponds to modern scientific approaches of rational pharmacotherapy of acute hepatitis B. The total number of identified drug-related problems was 192 (a mean of 7,1±1,4 drug-related problems per patient), out of them: 30,1% - potential drug-drug interactions; 27,5% - insufficient dosage of drugs; 14,6% - co-administration of medications with the same active ingredients (duplicate prescriptions); 11,5% - excessive duration of pharmacotherapy; 6,3% - incorrect drugs; 4,7% - incorrect route of drug administration; 1,6% - contraindicated use of drugs; 1,6% - excessive dosage of drugs; 1,6% - technical drug-related problems; and 0,5% - insufficient duration of pharmacotherapy. Conclusions. According to the results of this study, the list of clinical pharmacist's recommendations (messages of pharmaceutical care) have been formed which can be used for improving the quality and safety of pharmacotherapy. Key words: clinical pharmacist, acute viral hepatitis B, drug-related problems, rational pharmacotherapy

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Clinical and biochemical manifestation of acute viral hepatitis B in Republic of Moldova

BMC Infectious Diseases ◽

10.1186/1471-2334-14-s7-p14 ◽

2014 ◽

Vol 14 (S7) ◽

Author(s):

Lilia Cojuhari ◽

Victor Pântea ◽

Gheorghe Plăcintă ◽

Valentin Cebotarescu ◽

Olga Chirita ◽

...

Keyword(s):

Hepatitis B ◽

Viral Hepatitis ◽

Acute Viral Hepatitis ◽

Republic Of Moldova ◽

Viral Hepatitis B

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Ribavirin therapy of acute viral hepatitis “B” and “C’

Antiviral Research ◽

10.1016/0166-3542(90)90229-z ◽

1990 ◽

Vol 13 ◽

pp. 122

Keyword(s):

Hepatitis B ◽

Viral Hepatitis ◽

Acute Viral Hepatitis ◽

Viral Hepatitis B

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An Investigation into the High Prevalence of Hepatitis B in a Rural Area of Kerala State, India: Hypothesis on Chrysops sp. (Diptera: Tabanidae) Transmission

BioMed Research International ◽

10.1155/2018/4612472 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Mariamma Kuriakose ◽

Abraham M. Ittyachen

Keyword(s):

Hepatitis B ◽

Acute Viral Hepatitis ◽

Field Studies ◽

Southern India ◽

Mechanical Transmission ◽

Number Of Patients ◽

High Prevalence ◽

Acute Hepatitis B ◽

Viral Hepatitis B ◽

Kerala State

Objective. Since 2005 there have been several reports of hepatitis B outbreak in the state of Kerala in southern India. Objective of this study was to analyze such outbreaks and to explore hypothesis pertaining the transmission mode. Methods. Retrospective observational study involving cases of acute hepatitis B acquired between 1 January 2015 and 31 December 2015 and their family members residing in Mazhuvanoor village in Ernakulam district of Kerala State in southern India. Results. 59 houses were included in the survey. The number of patients diagnosed to have acute viral hepatitis B was 59. Majority (66.10%) were over 50 years old. There were no cases below the age of 15 years. All 59 patients claimed to have been bitten frequently by a fly which was identified as “deer fly” belonging to the genus Chrysops. Conclusion. Given the current understanding of mechanical transmission of pathogens in both humans and animals by insects belonging to the Tabanidae family which also includes Chrysops, it is plausible that the same mechanism may hold true for hepatitis B also. However this needs to be proven in further studies both at the laboratory level and at field studies.

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