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Hepatitis A and parvovirus B19 infections in an infant with fulminant hepatic failure
Figen Ozçay1, Y Emre Bikmaz, Oğuz Canan
1Department of Pediatric Gastroenterology, Başkent University, School of Medicine, Ankara, Turkey. fozcay@yahoo.com
Insights
Hepatitis A virus can cause severe liver failure. In a liver transplant patient, a Parvovirus B19 superinfection was found alongside anemia, suggesting a role in hepatitis and aplastic anemia.
Area of Science:
- Hepatology
- Virology
- Hematology
Background:
- Fulminant hepatic failure (FHF) can be caused by various hepatitis viruses (A, B, C, D, E).
- Parvovirus B19 is a known cause of hepatitis-associated aplastic anemia and acute liver failure.
Observation:
- A patient with fulminant hepatitis A, referred for liver transplantation, developed anemia.
- Parvovirus B19 superinfection was identified during the patient's clinical course.
Findings:
- The co-occurrence of hepatitis A virus and Parvovirus B19 infection in a case of FHF with anemia.
- Potential dual role of these viruses in causing severe liver injury and pure red cell aplasia.
Implications:
- This case highlights the importance of considering Parvovirus B19 in patients with hepatitis and anemia.
- Further research is needed to understand the synergistic or independent roles of hepatitis A and Parvovirus B19 in FHF and aplastic anemia.
Abstract:
Acute viral hepatitis with hepatitis A, B, C, D, and E viruses in the etiology of fulminant hepatic failure either single or in combinations has been described. Parvovirus B19 is also an etiologic agent of acute liver failure and hepatitis-associated aplastic anemia. We present a patient diagnosed with fulminant hepatitis A referred for liver transplantation. Parvovirus B19 superinfection was detected when the patient developed anemia during the course of the disease. We discuss possible roles of both viruses in fulminant hepatitis and pure red cell aplasia.
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