Zakaria S, Goldsmith R S, Kamel M A, el-Raziky E H
Department of Endemic Medicine, Faculty of Medicine, Cairo University, Egypt.
Trop Geogr Med. 1988 Oct;40(4):285-92.
The causes of acute hepatitis were prospectively studied in 141 patients admitted to Embaba Fever Hospital, Cairo, Egypt in 1983. Serologic diagnosis showed: hepatitis A (0.7%), hepatitis B (46.8%), dual infections with A and B (1.4%), acute hepatitis in HBsAg carriers (14.2%), drug induced hepatitis (5.7%), and hepatitis non-A non-B (NANB) (31.2%). Among hepatitis B patients tested for the following seromarkers, 40% had HBeAg, 8% anti-delta antibody, and 6 simultaneous presence of HBsAg and anti-HBs; in convalescence, a 9% HBsAg carrier rate was found. Clinical, epidemiological, and biochemical findings did not distinguish one cause of hepatitis from another. For 32% of NANB patients parenteral injection was a likely source of infection.
1983年，对埃及开罗恩巴巴发热医院收治的141例患者的急性肝炎病因进行了前瞻性研究。血清学诊断显示：甲型肝炎（0.7%）、乙型肝炎（46.8%）、甲乙型双重感染（1.4%）、HBsAg携带者的急性肝炎（14.2%）、药物性肝炎（5.7%）和非甲非乙型肝炎（NANB）（31.2%）。在检测了以下血清标志物的乙型肝炎患者中，40%有HBeAg，8%有抗δ抗体，6%同时存在HBsAg和抗HBs；恢复期的HBsAg携带率为9%。临床、流行病学和生化检查结果无法区分不同病因的肝炎。对于32%的NANB患者，注射是可能的感染源。
