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人腺病毒相关性肝损伤。

Human Adenovirus Associated Hepatic Injury.

机构信息

Department of Infectious Diseases, First Affiliated Hospital of Soochow University, Suzhou, China.

Department of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, China.

出版信息

Front Public Health. 2022 Apr 28;10:878161. doi: 10.3389/fpubh.2022.878161. eCollection 2022.

Abstract

Human adenovirus (HAdV) is a common virus, but the infections it causes are relatively uncommon. At the same time, the methods for the detection of HAdV are varied, among which viral culture is still the gold standard. HAdV infection is usually self-limited but can also cause clinically symptomatic in lots of organs and tissues, of which human adenovirus pneumonia is the most common. In contrast, human adenovirus hepatitis is rarely reported. However, HAdV hepatitis has a high fatality rate once it occurs, especially in immunocompromised patients. Although human adenovirus hepatitis has some pathological and imaging features, its clinical symptoms are not typical. Therefore, HAdV hepatitis is not easy to be found in the clinic. There are kinds of treatments to treat this disease, but few are absolutely effective. In view of the above reasons, HAdV hepatitis is a disease that is difficult to be found in time. We reviewed and summarized the previously reported cases, hoping to bring some relatively common characteristics to clinicians, so as to facilitate early detection, early diagnosis, and early treatment of patients.

摘要

人腺病毒(HAdV)是一种常见的病毒,但由其引起的感染相对较少见。同时,检测 HAdV 的方法多种多样,其中病毒培养仍然是金标准。HAdV 感染通常是自限性的,但也可引起许多器官和组织的临床症状,其中人腺病毒肺炎最为常见。相比之下,人腺病毒肝炎的报道很少。然而,HAdV 肝炎一旦发生,死亡率很高,特别是在免疫功能低下的患者中。尽管人腺病毒肝炎具有一些病理和影像学特征,但临床表现不典型。因此,临床上不易发现 HAdV 肝炎。有多种治疗方法可以治疗这种疾病,但很少有方法是绝对有效的。鉴于上述原因,HAdV 肝炎是一种难以及时发现的疾病。我们回顾并总结了之前报道的病例,希望能为临床医生带来一些相对常见的特征,以便于早期发现、早期诊断和早期治疗患者。

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