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Published on: June 26, 2020
Hepatitis E virus in patients with unexplained hepatitis in Finland
Tuija Kantala1, Leena Maunula, Carl-Henrik von Bonsdorff
1Department of Food and Environmental Hygiene, Faculty of Veterinary Medicine, P.O. Box 66, FI-00014 University of Helsinki, Finland. tuija.kantala@helsinki.fi
Hepatitis E virus (HEV) is a potential cause of unexplained hepatitis in Finland. This study found HEV in over 20% of patients, suggesting it should be considered in diagnosing hepatitis cases.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- Hepatitis E virus (HEV) is a significant cause of viral hepatitis globally, primarily in developing nations.
- Recent HEV detections in industrialized countries suggest a broader geographical impact than previously recognized.
Purpose of the Study:
- To determine if HEV contributes to unexplained acute hepatitis cases in Finland.
- To assess the prevalence of HEV infection in Finnish patients with undiagnosed hepatitis.
Main Methods:
- Analysis of 105 serum samples from 97 patients with acute unexplained hepatitis.
- Detection of anti-HEV IgM/IgG antibodies using ELISA and immunoblotting.
- HEV RNA detection and partial nucleotide sequencing of viral isolates.
Main Results:
- Anti-HEV antibodies were detected in 22.7% of patients.
- HEV RNA was identified in 8.2% of samples, with sequencing confirming HEV genotype 1.
- Three HEV-positive patients had recent travel history to Asia.
Conclusions:
- HEV is a potential etiological agent for acute hepatitis in Finland.
- These findings highlight the need to consider HEV in the differential diagnosis of hepatitis in non-endemic regions.
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