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 |
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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 |
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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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