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Published on: September 25, 2019
[Severe acute hepatitis C with spontaneous cure]
Margarida Marques1, Hélder Cardoso, Ana Maria Horta Vale
1Serviços de Gastrenterologia e de Anatomia Patológica, Hospital São João/Faculdade de Medicina da Universidade do Porto, Portugal.
Insights
Hepatitis C virus (HCV) infection, often asymptomatic, can present as acute hepatitis. A case highlights potential nosocomial transmission and successful clinical management, with negative HCV viremia achieved.
Area of Science:
- Hepatology
- Infectious Diseases
- Virology
Background:
- Hepatitis C virus (HCV) causes 20% of acute hepatitis cases, frequently remaining asymptomatic.
- The transmission route for 40% of HCV infections is unknown, with nosocomial transmission increasingly recognized.
Observation:
- A 54-year-old female presented with symptomatic acute Hepatitis C hepatitis and hepatic failure.
- The patient reported no risky behaviors but had a prior hospital admission 5 weeks earlier.
Findings:
- The patient's acute Hepatitis C infection was successfully managed with clinical surveillance.
- HCV viremia became negative by the 10th week of observation.
Implications:
- This case underscores the importance of considering nosocomial transmission in acute Hepatitis C cases.
- Early recognition and management can lead to favorable outcomes in symptomatic acute HCV infection.
Abstract:
Hepatitis C virus (HCV) is responsible for 20% of all cases of acute hepatitis. However, acute C infection isn't usually recognized in clinical practice, once most of the patients are asymptomatic and, in rare cases, the acute infection can progress to a fulminant form. In 40% of HCV infections, the mode of transmission persist unknown. Nosocomial transmission is, nowadays, recognized as a way of infection. Herein, we describe a female patient, with 54 years old, with an acute C hepatitis, symptomatic, with hepatic failure. She had no risky behaviours, just a previous hospital admission 5 weeks before. The patient was kept under surveillance with clinical improvement: at 10(th) week HCV viremia was negative.
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