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Akut Viral Hepatit A ile Plevral Efüzyon Birlikteliği: Olgu Sunumu

Association of Acute Viral Hepatitis A and Pleural Effusion: Case Report

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Although Hepatitis A usually manifests with mild symptoms or asymptomatic in children, in 15% of cases it may present with atypical symptoms and signs. Pleural effusion is a rare complication of hepatitis A. To the best of our knowledge, pleural effusion associated hepatitis A has been reported in only ten cases up to date. In this case report, we present an eight-year-old boy with pleural effusion and ascites associated with hepatitis A. Although the exact mechanism of pleural effusion in hepatitis A is unclear, it is known that it resolves spontaneously. Consequently, it is important to keep in mind that in the presence of pleural effusion with elevated transaminases, with or without hypoalbuminemia, hepatitis A should be considered, and if this is the case and clinical relief is observed during the follow-up, further diagnostic interventions are not warrented.
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Abstract (Original Language): 
Hepatit A çocuklarda hafif semptomlarla veya asemptomatik seyreder. Buna karşın %15 vakada atipik bir seyir gösterebilir. Plevral efüzyon Hepatit A’nın nadir bir komplikasyonudur. Hepatit A enfeksiyonu ile plevral efüzyon birlikteliği bilindiği kadarıyla şimdiye kadar 10 vakada bildirilmiştir. Bu olgu sunumunda akut viral hepatit A seyri esnasında plevral efüzyon ve assit ile gelen 8 yaşında bir hastayı sunduk. Akut viral hepatite eşlik eden plevral efüzyonun patogenezi tam açıklanamamış olsa da kendiliğinden düzeldiği ve herhangi bir tedaviye gerek olmadığı bilinmektedir. Bu bağlamda transaminazlarda yükseklik ile birlikte hipoalbuminemi olsun olmasın plevral efüzyon kliniği ile gelen olgularda, olayın akut viral hepatite bağlı olabileceğinin akılda tutulması gerektiğini ve böyle olgularda klinik izlemde düzelme oluyorsa ileri araştırmalara girmenin gereksiz olduğunu vurguladık.
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  • 2
119-121
  • Turkish

REFERENCES

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