Korean J Med > Volume 77(5); 2009 > Article
The Korean Journal of Medicine 2009;77(5):1133-1136.
A case of acute hepatitis E combined with amoebic colitis
Chul Kim, Jae Young Jang, Hwa Jong Kim, Chul Ho Chung, Soung Won Jeong, Yoon Mi Jeen, Chan Sup Shim
아메바 큰창자염을 동반한 급성 E형 간염 1예
김 철·장재영·김화종·정철호·정승원·진윤미·심찬섭, Jae Young Jang, Hwa Jong Kim, Chul Ho Chung, Soung Won Jeong, Yoon Mi Jeen, Chan Sup Shim
Abstract
Hepatitis E virus (HEV) is a major cause of outbreaks of water-borne hepatitis in developing countries and of sporadic cases of viral hepatitis. The transmission of HEV occurs predominantly by the fecal-oral route, although parenteral and perinatal routes have been implicated. The death rate is 0.5~3% among young adults and 15~20% for pregnant women. Intestinal amoebiasis is caused by the protozoan Entamoeba histolytica. Worldwide, approximately 40 to 50 million people develop colitis or extra-intestinal disease. Although most infections are asymptomatic, amoebic dysentery, amoebic liver abscesses and, rarely, other manifestations involving lung, heart, or brain can occur. We report a case of hepatitis E combined with amoebic colitis in a patient who traveled to an endemic area and review the literature. (Korean J Med 77:S1133-S1136, 2009)
Key Words: Acute hepatitis E; Amebic colitis


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