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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。

A rare case of childhood Hepatitis A infection with pleural effusion, acalculous cholecystitis, and ascites.

作者信息

Dalai Richie, Malhotra Sumit, Gupta Aditya K, Mandal Manisha, Kant Shashi

机构信息

Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India.

Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Family Med Prim Care. 2018 Nov-Dec;7(6):1581-1583. doi: 10.4103/jfmpc.jfmpc_298_18.

DOI:10.4103/jfmpc.jfmpc_298_18
PMID:30613565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6293913/
Abstract

Hepatitis A is common among children of developing nations. Young children with Hepatitis A infection usually have a mild form of the disease. Serious manifestations like pleural effusion and acalculous cholecystitis are very rare in Hepatitis A infection in young children. There have been some reports of these manifestations of childhood Hepatitis A occurring in isolation but for these to co-exist, is extremely rare. In this article a young child with Hepatitis A infection who had all these three manifestations of pleural effusion, acalculous cholecystitis and ascites together, is reported.

摘要

甲型肝炎在发展中国家的儿童中很常见。感染甲型肝炎的幼儿通常病情较轻。像胸腔积液和无结石性胆囊炎这样的严重表现在幼儿甲型肝炎感染中非常罕见。有一些关于儿童甲型肝炎这些表现单独出现的报道,但这些表现同时存在极为罕见。本文报道了一名感染甲型肝炎的幼儿,其同时出现了胸腔积液、无结石性胆囊炎和腹水这三种表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/581e/6293913/14bfde8039ba/JFMPC-7-1581-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/581e/6293913/14bfde8039ba/JFMPC-7-1581-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/581e/6293913/14bfde8039ba/JFMPC-7-1581-g001.jpg

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本文引用的文献

1
Out-of-pocket expenditure due to hepatitis A disease: A study from Kollam district, Kerala, India.甲型肝炎疾病导致的自付费用:来自印度喀拉拉邦科拉姆区的一项研究。
Indian J Med Res. 2017 Sep;146(3):426-429. doi: 10.4103/ijmr.IJMR_275_16.
2
Prevalence of hepatitis A virus, hepatitis B virus, hepatitis C virus, hepatitis D virus and hepatitis E virus as causes of acute viral hepatitis in North India: a hospital based study.印度北部甲型、乙型、丙型、丁型和戊型肝炎病毒作为急性病毒性肝炎病因的流行情况:一项基于医院的研究
Indian J Med Microbiol. 2013 Jul-Sep;31(3):261-5. doi: 10.4103/0255-0857.115631.
3
Hepatitis a with pleural effusion, ascites and acalculous cholecystitis.
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.
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.
4
Pleural effusion - An unusual cause.胸腔积液——一个不寻常的病因。
Australas Med J. 2012;5(7):369-72. doi: 10.4066/AMJ.2012.1024. Epub 2012 Jul 31.
5
Hepatitis A with pleural effusion: a rare association.甲型肝炎合并胸腔积液:一种罕见的关联。
Ann Trop Paediatr. 2009 Dec;29(4):317-9. doi: 10.1179/027249309X12547917869203.
6
Acute acalculous cholecystitis revealing hepatitis A virus infection in children.急性非结石性胆囊炎揭示儿童甲型肝炎病毒感染
Saudi J Gastroenterol. 2009 Oct-Dec;15(4):277. doi: 10.4103/1319-3767.56098.
7
Pleural effusion: a rare complication of hepatitis A.胸腔积液:甲型肝炎的一种罕见并发症。
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