An overview of triple infection with hepatitis B, C and D viruses

Mehwish Riaz1, Muhamad Idrees, Hifza Kanwal

  • 1National Centre of Excellence in Molecular Biology, University of the Punjab, 87-West Canal Bank Road Thokar Niaz Baig Lahore-53700, Pakistan.

Virology Journal
|July 28, 2011
PubMed

Insights

Triple hepatitis infection, involving Hepatitis C Virus (HCV), Hepatitis B Virus (HBV), and Hepatitis Delta Virus (HDV), poses a significant global health challenge. This review synthesizes data on the epidemiology, pathogenesis, and management of these co-infections.

Area of Science:

  • Hepatology
  • Virology
  • Infectious Diseases

Background:

  • Viral hepatitis, particularly Hepatitis C Virus (HCV) and Hepatitis B Virus (HBV), is highly endemic in South East Asia, including Pakistan.
  • Hepatitis Delta Virus (HDV) co-infection is also prevalent worldwide.
  • HCV, HBV, and HDV share transmission routes, leading to frequent dual or triple infections, exacerbating liver damage, cirrhosis (LC), and hepatocellular carcinoma (HCC).

Purpose of the Study:

  • To review the epidemiology, pathogenesis, transmission, symptoms, diagnosis, replication, disease outcomes, treatment, and prevention of triple hepatitis infections (HCV, HBV, HDV).
  • To synthesize existing literature on triple hepatitis infections, focusing on risk factors and awareness.

Main Methods:

  • A comprehensive literature review was conducted using PubMed, PakMediNet, DOAJ, and Google Scholar.
  • Keywords included 'epidemiology of triple infection,' 'risk factors,' 'awareness status,' 'treatment,' and 'replication cycle.'
  • Data from 74 studies published between 1983 and 2010 were analyzed.

Main Results:

  • Triple hepatitis infections involving HCV, HBV, and HDV are a significant concern due to overlapping transmission and synergistic effects on liver disease progression.
  • Chronic HDV infection contributes to liver damage and has oncogenic potential, similar to HBV and HCV.
  • The review synthesizes available data on the multifaceted aspects of these triple infections.

Conclusions:

  • Triple hepatitis infections represent a complex clinical challenge with serious implications for liver health, including increased risk of cirrhosis and cancer.
  • Understanding the epidemiology, pathogenesis, and transmission is crucial for effective prevention and treatment strategies.
  • Further research and public health initiatives are needed to combat the burden of these co-infections.

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