González Murillo M, Erdozain Sosa J C, Rodríguez Blanes J A, Muñoz Núñez F, Guerrero Vega E, Castillo Grau P, Berges Magaña M A, Reyes Rodríguez D, Del Rey Sanz R
Servicio de Aparato Digestivo, Hospital La Paz, Madrid.
Rev Esp Enferm Dig. 1992 Aug;82(2):123-4.
We present a case of acute hepatitis by simultaneous A and C virus infection. The coinfection was suspected due to the high levels of transaminases lasting more than 9 months after onset of the illness. During the early stages of the illness, the patient had IgM antibodies to hepatitis A virus. Serological tests for hepatitis B and C viruses, cytomegalovirus and Epstein-Bar virus were negative. Due to the persistently high transaminase levels, we repeated the serology, detecting positive results for hepatitis C antibody, while hepatitis B serology remained negative as well that for all other virus tested. With these findings, we believe that a patient with hepatitis A of long duration, requires additional serological examinations to determine the possibility of coinfection by another virus.
我们报告一例甲型和丙型肝炎病毒同时感染导致的急性肝炎病例。由于发病后转氨酶水平持续升高超过9个月,怀疑存在合并感染。在疾病早期,患者有甲型肝炎病毒IgM抗体。乙型和丙型肝炎病毒、巨细胞病毒和EB病毒的血清学检测均为阴性。由于转氨酶水平持续居高不下,我们重复了血清学检测,检测到丙型肝炎抗体呈阳性结果,而乙型肝炎血清学检测以及所有其他检测病毒的结果仍为阴性。基于这些发现,我们认为,病程较长的甲型肝炎患者需要进行额外的血清学检查,以确定是否存在另一种病毒合并感染的可能性。