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Hepatitis por Enterovirus en un Niño
Anna Prete1, Sergio Di Fenza2, Claudia Mandato3
1Pediatric Unit, Umberto I Hospital, Salerno, Italy.
ACG case reports journal
|December 22, 2025
Resumen
Los enterovirus pueden causar hepatitis en niños, incluso fuera del período neonatal. Este caso destaca la hepatitis enteroviral autolimitada en un niño de 3 años con enfermedad de manos, pies y boca.
Área de la Ciencia:
- Enfermedades Infecciosas Pediátricas
- Hepatología
- Virología
Sus antecedentes:
- Los enterovirus son patógenos comunes en los recién nacidos, lo que provoca enfermedades graves como sepsis y meningoencefalitis.
- La hepatitis enteroviral se documenta con poca frecuencia en poblaciones pediátricas más allá del grupo de edad neonatal.
Objetivo del estudio:
- Informar un caso raro de hepatitis aguda en un paciente pediátrico no neonatal causada por Enterovirus.
- Aumentar la concienciación entre los proveedores de atención médica sobre el potencial de la hepatitis enteroviral en niños que presentan hepatitis aguda de origen desconocido.
Principales métodos:
- Informe de caso de un niño de 3 años diagnosticado con enfermedad de manos, pies y boca.
- Evaluación clínica y de laboratorio de hepatitis aguda.
- Identificación del Enterovirus como agente causal.
Principales resultados:
- El paciente presentó enfermedad de manos, pies y boca y posteriormente desarrolló hepatitis aguda autolimitada.
- Se identificó el Enterovirus como la causa de la hepatitis en este caso pediátrico.
- La hepatitis se resolvió sin intervención específica, lo que indica un curso autolimitado.
Conclusiones:
- La hepatitis enteroviral puede ocurrir en niños sanos fuera del período neonatal.
- Los proveedores de atención médica deben considerar las infecciones por enterovirus en el diagnóstico diferencial de la hepatitis aguda en niños.
- El reconocimiento y diagnóstico tempranos de la hepatitis enteroviral son cruciales para el manejo adecuado del paciente.
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