A case of fulminant hepatitis E treated with artificial liver support

Yoichi Fujiyama, Yoshiyuki Yamagishi, Masahiro Kikuchi, Kenichiro Shimoji, Shinzo Kato, Hiroshi Nagata, Hidetsugu Saito, Toshifumi Hibi, Syunji Mishiro

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1 Citation (Scopus)


A 40-year-old man, who had suffered from general malaise and brown urine during his stay in China, was addmitted with remarkable jaundice and hepatocellular disorders soon after he returned to Japan. Because his coagulation test results worsened, he was transferred to our hospital. No evidence of hepatitis A-D virus infection, autoimmune hepatitis, or metabolic disorders was noticed. His prothrombin time was extended (18%), grade II encephalopathy appeared on the second hospital day, and fulminant hepatitis was diagnosed. Artificial liver support was introduced, and his hepatic coma and coagulation parameters gradually recovered. Genotype IV hepatitis E virus RNA was detected in his early phase sera and also both IgG and IgM type anti-hepatitis E virus antibodies were detected. Fulminant hepatitis E resulting from infection in China was diagnosed.

Original languageEnglish
Pages (from-to)219-225
Number of pages7
JournalJapanese Journal of Gastroenterology
Issue number2
Publication statusPublished - 2007 Feb

ASJC Scopus subject areas

  • Gastroenterology


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