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胸腔积液——一个不寻常的病因。

Pleural effusion - An unusual cause.

作者信息

Ponnurangam Nagarajan Vinoth, Palaniyadi Anitha, Sathyamoorthi Muthamilselvan, Sasitharan Rajendraprasath, Shuba Sankaranarayan, Padur Sivaraman Rajakumar, Scott Julius Xavier

机构信息

Sri Ramachandra Medical College & Research Institute, Chennai, Tamil Nadu, India.

出版信息

Australas Med J. 2012;5(7):369-72. doi: 10.4066/AMJ.2012.1024. Epub 2012 Jul 31.

DOI:10.4066/AMJ.2012.1024
PMID:22905065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3413004/
Abstract

Hepatitis A (HAV) infection is one of the most common forms of hepatitis in the paediatric age group in developing countries. It is usually self-limiting and rarely accompanied by extra hepatic complication. In this article, we report two children with hepatitis A who had associated issues of pleural effusion and ascites. Both issues improved with resolution of hepatitis after symptomatic treatment. Although uncommon, extra hepatic manifestations can occur with hepatitis A. However, they resolve completely. Paediatricians in developing countries should be aware of this rare association to avoid unnecessary investigations.

摘要

甲型肝炎(HAV)感染是发展中国家儿童年龄组中最常见的肝炎形式之一。它通常是自限性的,很少伴有肝外并发症。在本文中,我们报告了两名患有甲型肝炎且伴有胸腔积液和腹水问题的儿童。经过对症治疗,随着肝炎的好转,这两个问题均得到改善。虽然不常见,但甲型肝炎可出现肝外表现。不过,它们会完全消退。发展中国家的儿科医生应了解这种罕见的关联,以避免不必要的检查。

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Pleural effusion - An unusual cause.胸腔积液——一个不寻常的病因。
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2
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[A case of pleural effusion associated with acute hepatitis A].[一例与甲型急性肝炎相关的胸腔积液病例]
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A rare case of childhood Hepatitis A infection with pleural effusion, acalculous cholecystitis, and ascites.一例罕见的儿童甲型肝炎感染病例,伴有胸腔积液、无结石性胆囊炎和腹水。
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引用本文的文献

1
Acute benign pleural effusion, a rare presentation of hepatitis A virus: a case report and review of the literature.急性良性胸腔积液,甲型肝炎病毒的罕见表现:病例报告及文献复习。
J Med Case Rep. 2022 Jun 9;16(1):231. doi: 10.1186/s13256-022-03449-w.
2
Pleural Effusion Associated with Anicteric Hepatitis A Virus Infection - Unusual Manifestation of a Common Disease: A Case Report.甲型肝炎病毒感染伴无黄疸型肝炎相关胸腔积液——常见疾病的不寻常表现:一例报告
Pediatric Health Med Ther. 2020 Jun 16;11:189-192. doi: 10.2147/PHMT.S251393. eCollection 2020.
3
A rare case of childhood Hepatitis A infection with pleural effusion, acalculous cholecystitis, and ascites.一例罕见的儿童甲型肝炎感染病例,伴有胸腔积液、无结石性胆囊炎和腹水。
J Family Med Prim Care. 2018 Nov-Dec;7(6):1581-1583. doi: 10.4103/jfmpc.jfmpc_298_18.

本文引用的文献

1
Hepatitis a with pleural effusion, ascites and acalculous cholecystitis.甲型肝炎伴胸腔积液、腹水和无结石性胆囊炎。
Iran J Pediatr. 2010 Dec;20(4):479-82.
2
Pleural effusion: a rare complication of hepatitis A.胸腔积液:甲型肝炎的一种罕见并发症。
Indian J Med Microbiol. 2008 Jan-Mar;26(1):87-8. doi: 10.4103/0255-0857.38871.
3
A rare complication of hepatitis A: pleural effusion.甲型肝炎的一种罕见并发症:胸腔积液。
J Emerg Med. 2005 Feb;28(2):229-30. doi: 10.1016/j.jemermed.2004.11.008.
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Extrahepatic manifestations of viral hepatitis.病毒性肝炎的肝外表现
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Hepatitis A: an unusual presentation.
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[Pleural effusion associated with hepatitis A].
An Esp Pediatr. 2001 Jun;54(6):610-1.
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Ascites and pleural effusion accompanying hepatitis A infection in a child.一名儿童甲型肝炎感染伴腹水和胸腔积液
Clin Microbiol Infect. 2000 May;6(5):286-7. doi: 10.1046/j.1469-0691.2000.00077-3.x.
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Pleural effusion associated with acute hepatitis A infection.
Pediatr Infect Dis J. 2000 Jun;19(6):585-6. doi: 10.1097/00006454-200006000-00027.
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Clinical course and consequences of hepatitis A infection.
Vaccine. 2000 Feb 18;18 Suppl 1:S71-4. doi: 10.1016/s0264-410x(99)00470-3.
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Pleural effusion associated with acute hepatitis A infection.
Pediatr Infect Dis J. 1999 Dec;18(12):1111-2. doi: 10.1097/00006454-199912000-00022.