Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?

Detalhes bibliográficos
Autor(a) principal: Paraná, Raymundo
Data de Publicação: 2003
Outros Autores: Codes, Liana, Andrade, Zilton de Araújo, Freitas, Luiz Antonio Rodrigues de, Jesus, Rogério Santos, Reis, Mitermayer Galvão dos, Cotrim, Helma Pinchemel, Cunha, Simone, Trépo, Christian
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/7559
Resumo: University Hospital of Bahia. Gastro-Hepatology Unit. Salvador, BA, Brasil / CPgMS-UFBA. Salvador, BA, Brasil
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spelling Paraná, RaymundoCodes, LianaAndrade, Zilton de AraújoFreitas, Luiz Antonio Rodrigues deJesus, Rogério SantosReis, Mitermayer Galvão dosCotrim, Helma PinchemelCunha, SimoneTrépo, Christian2014-04-30T16:31:43Z2014-04-30T16:31:43Z2003PARANÁ, R. et al. Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease? International Journal of Infectious Disease, v. 7, n. 3, p. 222-230, 2003.1201-9712https://www.arca.fiocruz.br/handle/icict/7559engInternational Society for Infectious DiseasesClinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversity Hospital of Bahia. Gastro-Hepatology Unit. Salvador, BA, Brasil / CPgMS-UFBA. Salvador, BA, BrasilUniversity Hospital of Bahia. Gastro-Hepatology Unit. Salvador, BA, Brasil / CPgMS-UFBA. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilUniversity Hospital of Bahia. Gastro-Hepatology Unit. Salvador, BA, Brasil / CPgMS-UFBA. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilUniversity Hospital of Bahia. Gastro-Hepatology Unit. Salvador, BA, Brasil / CPgMS-UFBA. Salvador, BA, BrasilUniversity Hospital of Bahia. Gastro-Hepatology Unit. Salvador, BA, Brasil / CPgMS-UFBA. Salvador, BA, BrasilInserm U. Lyon, FranceNon-A-E hepatitis and acute cryptogenic hepatitis are the names given to the disease of patients with clinical hepatitis, but in whom serologic evidence of A-E hepatitis has not been found. Over a period of 8 years, we evaluated in Brazil 32 patients who fulfilled the criteria for this diagnosis in order to determine patterns of the clinical illness, laboratory parameters, or histologic features. Each patient was subjected to virologic tests to exclude A-E hepatitis and cytomegalovirus/Epstein-Barr virus infection. Drug-induced hepatitis and autoimmune disease were also excluded. Wilson's disease was excluded in young patients. The course of the disease was clinical/biochemical recovery in 3 months in 25 patients and persistent alanine aminotransferase (ALT) elevation in 7 patients. Three of these had chronic hepatitis, and one had severe fibrosis on liver biopsy. During the acute illness, mean peak ALT was 1267 IU/L, bilirubin was 4.0 mg/dL, and ferritin was 1393 IU/mL. GB virus type C (GBV-C) was found in six patients, and TT virus (TTV) in five patients. We conclude that, in Brazil, non-A-E hepatitis probably originates from still unidentified viruses. The course of the disease and the histologic patterns are similar to those recorded for known viruses. Continuous survey for the specific etiologic agents is needed.Vírus GB C/isolamento & purificaçãoHepatite Viral Humana/fisiopatologiaHepatite Viral Humana/virologiaTorque teno virus/isolamento & purificaçãoDoença AgudaAdolescenteAdultoAlanina Transaminase/sangueAnticorpos Antivirais/sangueBrasilCriançaEstudos de CoortesDoenças Transmissíveis/virologiaFemininoHepatite Viral Humana/imunologiaHumanosFígado/patologiaMasculinoMeia-Idadeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALParana R Clinical histologic....pdfParana R Clinical histologic....pdfapplication/pdf7348682https://www.arca.fiocruz.br/bitstream/icict/7559/1/Parana%20R%20Clinical%20histologic....pdf1bbf60958c3341eb500e3ec1b1a62f1dMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/7559/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTParana R Clinical histologic....pdf.txtParana R Clinical histologic....pdf.txtExtracted texttext/plain28619https://www.arca.fiocruz.br/bitstream/icict/7559/5/Parana%20R%20Clinical%20histologic....pdf.txtb6d7fa831c1720403ee0c6a37c5977ffMD55THUMBNAILParana R Clinical histologic....pdf.jpgParana R Clinical histologic....pdf.jpgGenerated Thumbnailimage/jpeg2644https://www.arca.fiocruz.br/bitstream/icict/7559/4/Parana%20R%20Clinical%20histologic....pdf.jpge360dc1d49a67c325863c14a047a3339MD54icict/75592023-03-15 14:33:19.09oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:33:19Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
title Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
spellingShingle Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
Paraná, Raymundo
Vírus GB C/isolamento & purificação
Hepatite Viral Humana/fisiopatologia
Hepatite Viral Humana/virologia
Torque teno virus/isolamento & purificação
Doença Aguda
Adolescente
Adulto
Alanina Transaminase/sangue
Anticorpos Antivirais/sangue
Brasil
Criança
Estudos de Coortes
Doenças Transmissíveis/virologia
Feminino
Hepatite Viral Humana/imunologia
Humanos
Fígado/patologia
Masculino
Meia-Idade
title_short Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
title_full Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
title_fullStr Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
title_full_unstemmed Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
title_sort Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease?
author Paraná, Raymundo
author_facet Paraná, Raymundo
Codes, Liana
Andrade, Zilton de Araújo
Freitas, Luiz Antonio Rodrigues de
Jesus, Rogério Santos
Reis, Mitermayer Galvão dos
Cotrim, Helma Pinchemel
Cunha, Simone
Trépo, Christian
author_role author
author2 Codes, Liana
Andrade, Zilton de Araújo
Freitas, Luiz Antonio Rodrigues de
Jesus, Rogério Santos
Reis, Mitermayer Galvão dos
Cotrim, Helma Pinchemel
Cunha, Simone
Trépo, Christian
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Paraná, Raymundo
Codes, Liana
Andrade, Zilton de Araújo
Freitas, Luiz Antonio Rodrigues de
Jesus, Rogério Santos
Reis, Mitermayer Galvão dos
Cotrim, Helma Pinchemel
Cunha, Simone
Trépo, Christian
dc.subject.decs.pt_BR.fl_str_mv Vírus GB C/isolamento & purificação
Hepatite Viral Humana/fisiopatologia
Hepatite Viral Humana/virologia
Torque teno virus/isolamento & purificação
Doença Aguda
Adolescente
Adulto
Alanina Transaminase/sangue
Anticorpos Antivirais/sangue
Brasil
Criança
Estudos de Coortes
Doenças Transmissíveis/virologia
Feminino
Hepatite Viral Humana/imunologia
Humanos
Fígado/patologia
Masculino
Meia-Idade
topic Vírus GB C/isolamento & purificação
Hepatite Viral Humana/fisiopatologia
Hepatite Viral Humana/virologia
Torque teno virus/isolamento & purificação
Doença Aguda
Adolescente
Adulto
Alanina Transaminase/sangue
Anticorpos Antivirais/sangue
Brasil
Criança
Estudos de Coortes
Doenças Transmissíveis/virologia
Feminino
Hepatite Viral Humana/imunologia
Humanos
Fígado/patologia
Masculino
Meia-Idade
description University Hospital of Bahia. Gastro-Hepatology Unit. Salvador, BA, Brasil / CPgMS-UFBA. Salvador, BA, Brasil
publishDate 2003
dc.date.issued.fl_str_mv 2003
dc.date.accessioned.fl_str_mv 2014-04-30T16:31:43Z
dc.date.available.fl_str_mv 2014-04-30T16:31:43Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv PARANÁ, R. et al. Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease? International Journal of Infectious Disease, v. 7, n. 3, p. 222-230, 2003.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/7559
dc.identifier.issn.none.fl_str_mv 1201-9712
identifier_str_mv PARANÁ, R. et al. Clinical, histologic and serologic evaluation of patients with acute non-A-E hepatitis in north-eastern Brazil: is it an infectious disease? International Journal of Infectious Disease, v. 7, n. 3, p. 222-230, 2003.
1201-9712
url https://www.arca.fiocruz.br/handle/icict/7559
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv International Society for Infectious Diseases
publisher.none.fl_str_mv International Society for Infectious Diseases
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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