Mannheimer Ebba Elisabeth, Harritshøj Lene Holm, Katzenstein Terese Lea
Ugeskr Laeger. 2016 Oct 10;178(41).
Hepatitis E virus (HEV) infection among pregnant women is severe, often leading to fulminant hepatic failure and death, with mortality rates up to 15-25%. Studies suggest that differences in genotypes/subgenotypes, hormonal and immunological changes during pregnancy may contribute to the severe consequences for pregnant women with HEV. Although the increased mortality among pregnant women predominantly is seen in developing countries where genotype 1 is endemic, there are also large differences in mortality among pregnant women within these countries. The reason for this is not clear.
孕妇感染戊型肝炎病毒(HEV)病情严重,常导致暴发性肝衰竭和死亡,死亡率高达15%-25%。研究表明,基因型/亚基因型的差异以及孕期激素和免疫变化可能是导致感染HEV的孕妇出现严重后果的原因。虽然孕妇死亡率增加主要见于1型基因型流行的发展中国家,但这些国家内部孕妇的死亡率也存在很大差异。其原因尚不清楚。