爱泼斯坦-巴尔病毒肝炎可导致短暂性肝肺综合征。
Epstein-Barr virus hepatitis can cause transient hepatopulmonary syndrome.
作者信息
Ghayumi Seiyed Mohammad Ali, Rohani Maryam, Hasanzadeh Sajad, Sadeghi Shahrokh, Roozbehi Amrollah, Jokar Saeid
机构信息
Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Obstetrics and Gynecology, Yasuj University of Medical Sciences, Yasuj, Iran.
出版信息
Respir Med Case Rep. 2018 Apr 3;24:50-51. doi: 10.1016/j.rmcr.2018.03.016. eCollection 2018.
INTRODUCTION
Hepatopulmonary syndrome is commonly seen in the patients with chronic liver disease. Acute liver diseases are rarely associated with HPS. We have reported here a case of Transient HPS caused by Epstein-Barr virus hepatitis.
CASE REPORT
The patient was a 31 years old man that came to hospital due to RUQ pain and yellowish skin. In examination the patient was tachypnic and O2 saturation was 71% with prominent JVP. ver enzyme and bilirubin were high. All viral hepatitis was negative except anti viral capsid antigen-antibody of EBV. In Blood gas PaO2 was 54 mmHg, O2 saturation 73% and alveolar-arterial gradient was 18 mmHg. Stress Echocardiography with saline injection reported pulmonary arterial pressure 32 cmHg with delayed opacification of left atrium.
CONCLUSION
transient HPS can be manifestation in the acute hepatitis caused by EBV infection.
引言
肝肺综合征常见于慢性肝病患者。急性肝病很少与肝肺综合征相关。我们在此报告一例由EB病毒肝炎引起的短暂性肝肺综合征病例。
病例报告
该患者为一名31岁男性，因右上腹疼痛和皮肤发黄入院。检查发现患者呼吸急促，氧饱和度为71%，颈静脉压明显升高。转氨酶和胆红素升高。除EBV抗病毒衣壳抗原抗体外，所有病毒性肝炎检测均为阴性。血气分析显示动脉血氧分压为54mmHg，氧饱和度为73%，肺泡-动脉氧分压差为18mmHg。盐水注射负荷超声心动图显示肺动脉压为32cmHg，左心房显影延迟。
结论
短暂性肝肺综合征可表现为EB病毒感染所致的急性肝炎。
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