新西兰一个城市社区的急性散发性非甲非乙型肝炎

Acute sporadic non-A and non-B hepatitis in an urban community in New Zealand.

作者信息

Goldwater P N, Woodfield D G, Anderson R A, Gill M B, Carpenter S

出版信息

Aust N Z J Med. 1982 Jun;12(3):268-71. doi: 10.1111/j.1445-5994.1982.tb02475.x.

DOI:10.1111/j.1445-5994.1982.tb02475.x

Abstract

Acute sporadic non-A, non-B hepatitis is reported for the first time in New Zealand. Examination of sera from 94 patients with biochemical evidence of hepatitis showed that 26 (27%) had acute hepatitis B (HB), 22 (23%) had acute hepatitis A (HA) and 25 (26%) had acute non-A, non-B hepatitis (NANBH). Nine (10%) patients had Epstein-Barr virus (EBV) associated hepatitis and one (1%) had cytomegalovirus (CMV) hepatitis. There were 11 (13%) patients with mixed infections; eight with HA plus HB, one with HB plus EBV, one with HA plus EBV and one with HB plus CMV. Thus NANBH and EBV associated hepatitis must be considered in the differential diagnosis of patients presenting with clinical hepatitis with no history of possible percutaneous infection.

摘要

急性散发性非甲非乙型肝炎在新西兰首次被报道。对94例有肝炎生化证据的患者的血清检查显示，26例（27%）患有急性乙型肝炎（HB），22例（23%）患有急性甲型肝炎（HA），25例（26%）患有急性非甲非乙型肝炎（NANBH）。9例（10%）患者患有与EB病毒（EBV）相关的肝炎，1例（1%）患有巨细胞病毒（CMV）肝炎。有11例（13%）患者为混合感染；8例为HA加HB，1例为HB加EBV，1例为HA加EBV，1例为HB加CMV。因此，对于无经皮感染史且出现临床肝炎的患者进行鉴别诊断时，必须考虑NANBH和与EBV相关的肝炎。