Pulmonology Critical Care and Sleep Medicine, BPKISH, Dharan, Sunsari, Nepal.
J Nepal Health Res Counc. 2022 Jun 3;20(1):269-271. doi: 10.33314/jnhrc.v20i01.3498.
Hepatitis A virus infection is the commonest form of hepatitis in pediatric age group and common health problem in developing countries due to poor sanitation. The clinical spectrum of hepatitis A virus infection ranges from asymptomatic infection to fulminant hepatitis and the symptoms are primarily hepatobiliary or constitutional. Here, we present a case of 16 years old male who presented with complains of fever, vomiting, anorexia, right sided abdominal pain, shortness of breath and cough. On clinical examination, patient has hepatomegaly and decreased breath sounds on right sided mammary, infra- mammary and infra scapular region. Blood investigations showed aminotransferases while pleural effusion and ascites with thickened gall bladder were found in chest x-ray and abdominal ultrasonography respectively. In absence of others causes, pleural effusion can be a rare complication of hepatitis A. Thus, this complication should be kept in mind in endemic countries in clinically matching scenarios. Keywords: Acalculous cholecystitis; ascites; hepatitis A; pleural effusion.
甲型肝炎病毒感染是儿科最常见的肝炎形式，也是发展中国家由于卫生条件差而常见的健康问题。甲型肝炎病毒感染的临床谱从无症状感染到暴发性肝炎不等，症状主要为肝胆或全身症状。在这里，我们介绍了 16 岁男性患者的病例，其主诉为发热、呕吐、食欲不振、右侧腹痛、呼吸急促和咳嗽。临床检查发现患者肝肿大，右侧乳房、乳房下和肩胛下区域呼吸音减弱。血液检查显示转氨酶升高，而胸腔 X 射线和腹部超声检查分别发现胸腔积液和腹水以及胆囊增厚。在没有其他原因的情况下，胸腔积液可能是甲型肝炎的罕见并发症。因此，在流行地区，这种并发症应在临床相符的情况下牢记在心。关键词：非结石性胆囊炎；腹水；甲型肝炎；胸腔积液。
