A case of acute hepatitis B related to previous gynecological surgery in Japan

Shinya Sugimoto, Shuichi Nagakubo, Tsuyoshi Ito, Yuya Tsunoda, Satoshi Imamura, Toshihide Tamura, Yuichi Morohoshi, Yuji Koike, Yuriko Fujita, Syoko Ito, Setsuko Fujita, Natsuo Tachikawa, Hirokazu Komatsu

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


A 41-year-old woman became ill with acute hepatitis B after gynecological surgery performed by a surgeon who was hepatitis B surface antigen positive. The surgeon was positive for hepatitis B e antigen, and HBV DNA concentrations in the serum, saliva, and sweat of the surgeon were very high. HBV genotype and partial HBV DNA sequences from the HBV-infected surgeon were identical to those in the HBV-infected patient. Extensive research by the committee including infection control and prevention specialists judged the source of infection to be a surgeon infected with HBV. Transmission of HBV from a healthcare worker to patients who are not immune to HBV can actually happen. This case report illustrates the importance of a stringent policy of a nationwide HBV universal vaccination program.

Original languageEnglish
Pages (from-to)524-529
Number of pages6
JournalJournal of Infection and Chemotherapy
Issue number3
Publication statusPublished - 2013 Jun
Externally publishedYes


  • Acute hepatitis B
  • HBV DNA sequence
  • HBV genotype
  • Surgery
  • Transmission
  • Vaccine

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases
  • Pharmacology (medical)


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