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Influenza A hepatitis in pregnancy
Sarah Morocco1, Andrew Korman, Janet Stein
1Departments of Obstetrics and Gynecology and Gastroenterology, Mount Sinai Beth Israel, New York, New York.
Obstetrics and Gynecology
|July 9, 2014
Summary
Influenza A infection complicated a pregnancy, causing hepatitis and severe itching. The condition resolved within two weeks, leading to a healthy birth.
Area of Science:
- Hepatology
- Maternal-Fetal Medicine
- Infectious Diseases
Background:
- Hepatitis is a known complication of Influenza A.
- Liver disease in pregnancy presents a broad differential diagnosis.
- This case highlights a rare presentation of Influenza A in pregnancy.
Observation:
- A 32-year-old pregnant woman (31 4/7 weeks gestation) was diagnosed with Influenza A.
- She developed severe pruritus and significantly elevated liver enzymes (AST, ALT) and total bile acids.
- Fetal surveillance remained normal throughout the observation period.
Findings:
- Influenza A infection can lead to hepatitis during pregnancy.
- The patient's symptoms, including elevated liver enzymes and pruritus, resolved spontaneously.
- Supportive treatment was effective in managing the condition.
Implications:
- Influenza A hepatitis should be considered in pregnant patients with liver dysfunction.
- Prompt diagnosis and supportive care can lead to favorable maternal and perinatal outcomes.
- This case contributes to understanding the spectrum of Influenza A complications in pregnancy.
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