Ibarra H, Riedemann S, Froesner G, Reinhardt G, Toledo C
Instituto de Medicina, Universidad Austral de Chile.
Rev Med Chil. 1994 Jan;122(1):68-71.
A 53 year old female nurse presenting with malaise, jaundice and pruritus is reported. Physical examination only disclosed jaundice and laboratory values showed an ALT of 445 U/l, ASAT of 179 U/l, alkaline phosphatases of 455 U/l and a total bilirubin of 7.7 mg/dl. Serological markers for hepatitis virus E were positive and negative for hepatitis virus A, B and C, cytomegalovirus and Epstein Barr virus. The patient recovered fully in 10 weeks and is asymptomatic after 5 years of follow up. Health care workers probably have a higher risk for hepatitis E than the general population and this is the first acute sporadic case described in Chile.
据报告，一名53岁的女护士出现不适、黄疸和瘙痒症状。体格检查仅发现黄疸，实验室检查结果显示谷丙转氨酶（ALT）为445 U/L，谷草转氨酶（ASAT）为179 U/L，碱性磷酸酶为455 U/L，总胆红素为7.7 mg/dl。戊型肝炎病毒血清学标志物呈阳性，甲型、乙型和丙型肝炎病毒、巨细胞病毒及EB病毒血清学标志物均为阴性。患者在10周内完全康复，随访5年后无症状。医护人员感染戊型肝炎的风险可能高于普通人群，这是智利描述的首例急性散发病例。
