Article
Fulminant Hepatitis Failure in Adults and Children from a Public Hospital in Rio de Janeiro, Brazil
Registro en:
SANTOS, Damião Carlos Moraes dos et al. Fulminant Hepatitis Failure in Adults and Children from a Public Hospital in Rio de Janeiro, Brazil. The Brazilian Journal of Infectious Diseases, v. 13, n. 5, p. 323-329, 2009.
1413-8670
1678-4391
Autor
Santos, Damião Carlos Moraes dos
Martinho, José Manoel da Silva Gomes
Moreira, Lucio Filgueiras Pacheco
Araújo, Cristina Carvalho Viana de
Oliveira, Barbara Cristina Euzebio Pereira Dias de
Lago, Barbara Vieira
Pinto, Marcelo Alves
Paula, Vanessa Salete de
Resumen
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 HBVDNA 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. 2030-01-01