TY - JOUR
T1 - A case of fulminant hepatitis E treated with artificial liver support
AU - Fujiyama, Yoichi
AU - Yamagishi, Yoshiyuki
AU - Kikuchi, Masahiro
AU - Shimoji, Kenichiro
AU - Kato, Shinzo
AU - Nagata, Hiroshi
AU - Saito, Hidetsugu
AU - Hibi, Toshifumi
AU - Mishiro, Syunji
PY - 2007/2/1
Y1 - 2007/2/1
N2 - A 40-year-old man, who had suffered from general malaise and brown urine during his stay in China, was addmitted 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.
AB - A 40-year-old man, who had suffered from general malaise and brown urine during his stay in China, was addmitted 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.
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M3 - Article
C2 - 17283417
AN - SCOPUS:33847706456
VL - 104
SP - 219
EP - 225
JO - Journal of Japanese Society of Gastroenterology
JF - Journal of Japanese Society of Gastroenterology
SN - 0446-6586
IS - 2
ER -