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Published on: February 3, 2012
[Hepatitis caused by cytomegalovirus]
Insights
Cytomegalovirus (CMV) hepatitis was identified in seven surgically treated cancer patients. Staff with high anti-CMV antibody levels may have transmitted the virus due to hygiene failures.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Context:
- Endemic hepatitis cases occurred in a surgical ward among cancer patients.
- Three cases were HBsAg positive, while seven were initially classified as non-A, non-B hepatitis.
Purpose:
- To investigate the cause of endemic hepatitis in a surgical ward.
- To differentiate between viral hepatitis types and identify the causative agent in non-A, non-B cases.
Summary:
- Ten hepatitis cases in surgically treated cancer patients were analyzed for epidemiological, clinical, biochemical, cytological, and immunological aspects.
- Clinical and serological data excluded hepatitis A, B, Epstein-Barr virus, and Toxoplasma.
- Seven non-A, non-B hepatitis cases were identified as cytomegalovirus (CMV) hepatitis.
- High antibody levels against CMV in surgical ward staff suggest their role in virus transmission.
Impact:
- Identifies cytomegalovirus as a cause of nosocomial hepatitis in immunocompromised patients.
- Highlights potential breaches in hygiene protocols contributing to viral spread in healthcare settings.
- Underscores the importance of vigilant infection control measures for surgical patients.
Abstract:
Epidemical, clinical, biochemical, cytological and immunological aspects are studied in ten cases of hepatitis occurred endemically in a chirurgical ward between cancerous operated patients. Three were HBsAg positive. None of the others seven had clinical or serological dates enough to attribute them to A nor B virus hepatitis. The clinical and serological data exclude also Epstein-Barr virus or Toxoplasma aethiology. Nevertheless, the objective results of the study have entity enough to classify the other seven no-A no-B hepatitis cases into the group of the cytomegalovirus hepatitis. The high number of positive titles for antibodies anti-CMV in the staff members of the chirugical ward, some with high rates, allow us to give them a role in the spread of the virus and his transmission to the patients' through a failure with the hygenic conditions necessary to look after the wounds.
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