Chronic Hepatitis E Virus Manifesting as Elevated Transaminases in a Heart Transplant Patient.
Islam MohamedKimberly SandersDonald J HillebrandPublished in: ACG case reports journal (2024)
Hepatitis E virus (HEV) is a common cause of viral hepatitis worldwide. Genotypes 1 and 2 cause acute hepatitis in endemic regions (Asia and Africa), whereas genotypes 3 and 4 (America and Europe) result in sporadic acute or chronic hepatitis, specifically in certain groups. HEV infections are rising because of increased transplantation rates and immunosuppression. We report a 75-year-old heart transplant patient with nonspecific symptoms, diagnosed with HEV chronic hepatitis. Despite ribavirin-induced hemolytic anemia, the patient achieved sustained virological response and normalization of liver enzymes.
Keyphrases
- drug induced
- case report
- liver failure
- heart failure
- respiratory failure
- chronic kidney disease
- atrial fibrillation
- sars cov
- antiretroviral therapy
- stem cells
- hepatitis b virus
- physical activity
- cell therapy
- mesenchymal stem cells
- oxidative stress
- intensive care unit
- hiv infected patients
- acute respiratory distress syndrome
- sleep quality
- early onset
- extracorporeal membrane oxygenation