Data/hora: 10/06/2024 06:46:11

Provedor de dados: | Brazilian Journal of Infectious Diseases
País: | Brazil
Título: | Fulminant hepatitis failure in adults and children from a Public Hospital in Rio de Janeiro, Brazil
Autores: | Santos,Damião Carlos Moraes dos; Martinho,José Manoel da Silva Gomes; Pacheco-Moreira,Lucio Filgueiras; Araújo,Cristina Carvalho Viana de; Oliveira,Barbara Cristina Euzebio Pereira Dias de; Lago,Barbara Vieira; Pinto,Marcelo Alves; Paula,Vanessa Salete de.
Data: | 2009-10-01
Ano: | 2009
Palavras-chave: | Fulminant hepatitis failure; Hepatitis A virus (HAV); Hepatitis B virus (HBV) and genotype and viral load.
Resumo: | Fulminant hepatic failure (FHF) is characterized by massive hepatocellular injury, whose physiopathology is still unclear. Hepatitis B (HBV) is probably the most common viral cause of FHF, while hepatitis A (HAV) virus seem occurs less frequently. However, the host and viral factors that determine the outcome of these infections are poorly understood. In the present study, viral load and genotyping determining regions of HAV and HBV genomes were sequenced. Eight FHF patients and one patient with severe acute hepatitis (SAH) were included. Liver and blood samples were collected during liver transplantation or necropsy procedures. HAV-RNA and HBV-DNA were extracted from serum, biopsy and paraffin liver. Nucleotide sequencing of HAV-RNA was performed from VP1/2A and HBV-DNA from PreS/S region. The amplified samples were quantified by Real-Time PCR. The cases of HAV infection were due to subgenotype IA. The cases of HBV infection were due to genotype A2 and D4. The case of HAV/HBV coinfection was infected by genotype IA and D3. Hepatitis A and B infection were associated with genotypes most prevalent in Brazil. In hepatitis A infection the mean of period evolution was 13 days. In hepatitis B, FHF patients infected by genotype D have a shorter period of evolution than FHF patients infected by genotype A (mean 15 v. 53 days). There was no association with genotype-determining region with the severity of hepatitis, however nucleotide differences and high viral load could be observed among FHF.
Tipo: | Info:eu-repo/semantics/report
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702009000500002
Editor: | Brazilian Society of Infectious Diseases
Relação: | 10.1590/S1413-86702009000500002
Formato: | text/html
Fonte: | Brazilian Journal of Infectious Diseases  v.13 n.5 2009
Fonte: | info:eu-repo/semantics/openAccess