Ko Young Sun, Yoo Ki Deok, Hyun Yil Sik, Chung Hae Ryoung, Park Soo Yuk, Kim Sun Min, Jeon Yong Cheol
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2010 Mar;55(3):198-202. doi: 10.4166/kjg.2010.55.3.198.
Hepatitis A virus (HAV) infection is common in developing countries, including Korea. It can be accompanied by extrahepatic complications such as renal failure, arthritis, and vasculitis. Pleural effusion is a very rare complication of HAV infection, which has been reported usually in children, and has benign clinical courses. Here we report a case of pleural effusion with ascites which occurred in an adult hepatitis A patient. A 26-year-old-woman presented generalized myalgia and fever and was diagnosed as acute hepatitis A. Despite of the improvement of laboratory findings, fever and cough persisted. Pleural effusion newly appeared on the serial chest radiologic images. After the fever settled down, the pleural effusion resolved spontaneously at 13th day of admission.
甲型肝炎病毒（HAV）感染在包括韩国在内的发展中国家很常见。它可能伴有诸如肾衰竭、关节炎和血管炎等肝外并发症。胸腔积液是HAV感染非常罕见的并发症，通常在儿童中报道，且临床病程良性。在此我们报告一例成年甲型肝炎患者出现胸腔积液并伴有腹水的病例。一名26岁女性出现全身肌痛和发热，被诊断为急性甲型肝炎。尽管实验室检查结果有所改善，但发热和咳嗽仍持续存在。在系列胸部影像学检查中新出现了胸腔积液。发热消退后，胸腔积液在入院第13天自行消退。
