Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2007
[A case of fulminant hepatitis E treated with artificial liver support].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Fujiyama Yoichi, Yamagishi Yoshiyuki, Kikuchi Masahiro, Shimoji Kenichiro, Kato Shinzo, Nagata Hiroshi, Saito Hidetsugu, Hibi Toshifumi, Mishiro Syunji
Аннотация
A 40-year-old man, who had suffered from general malaise and brown urine during his stay in China, was admitted with remarkable jaundice and hepatocellular disorders soon after he returned to Japan. Because his coagulation test results worsened, he was transferred to our hospital. No evidence of hepatitis A-D virus infection, autoimmune hepatitis, or metabolic disorders was noticed. His prothrombin time was extended (18%), grade II encephalopathy appeared on the second hospital day, and fulminant hepatitis was diagnosed. Artificial liver support was introduced, and his hepatic coma and coagulation parameters gradually recovered. Genotype IV hepatitis E virus RNA was detected in his early phase sera and also both IgG and IgM type anti-hepatitis E virus antibodies were detected. Fulminant hepatitis E resulting from infection in China was diagnosed.