You are here

Akut Viral Hepatit A ile Plevral Efüzyon Birlikteliği: Olgu Sunumu

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

Journal Name:

Publication Year:

Keywords (Original Language):

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.
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.
119-121

REFERENCES

References: 

1. Lovestad A. New knowledge about viral hepatitis. Tiddsskr Nor Laegeforen 1994;
114: 3576-8.
2. Willner IR, Uhl MD, Howard SC et al. Serious hepatitis A: an analysis of patients
hospitalized during an urban epidemic in the United States. Ann. Intern. Med.
1998; 128: 111-4.
3. Melnick JL. History and epidemiology of hepatitis A virus. J. Infect. Dis. 1995; 171
(Suppl.): S2-8.
4. Gross PA, Gerding DN. Pleural effusion associated with viral hepatitis.
Gastroenterology 1971; 60: 888-92.
5. Alhan E, Yildizdas D, Yapicioglu H, Necmi A. Pleural effusion associated with
acute hepatitis A infection. Pediatr Infect Dis J 1999; 18: 1111-2.
6. Vaidya P, Kadam C. Hepatitis A: an unusual presentation. Indian Pediatr 2003; 40:
910-1.
7. Bringue EX, Prado MS, Vidal BJ, Galindez AJ, Bosch MJ, Goma BA. Pleural
Akut Viral Hepatit A ile Plevral Efüzyon Birlikteliği: Olgu Sunumu
121
effusion associated with hepatitis A. An Esp Pediatr 2001; 54: 610-1.
8. Gurkan F. Ascites and pleural effusion accompanying hepatitis A infection in a
child. Clin Microbiol Infect 2000; 6: 286-7.
9. Tesovic G, Vukelic D, Vukovic B, Benic B, Bozinovic D. Pleural effusion
associated with acute hepatitis A infection. Pediatr Infect Dis J 2000; 19: 585-6.
10. Selimoglu MA, Ziraatci O, Tan H, Ertekin V. A rare complication of hepatitis A:
pleural effusion. J Emerg Med 2005; 2: 229-30.
11. Mocelin HT, Fischer GB. Epidemiology, presentation and treatment of pleural
effusion. Paedr Respir Rev 2002; 3: 292-7.

Thank you for copying data from http://www.arastirmax.com