Browsing by Author "Ulloa Pilliza, Gabriela Carolina"

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    Hepatitis Colestásica Secundaria a Virus de la Hepatitis A
    (2016-10-01) Ulloa Pilliza, Gabriela Carolina; López Ulloa, Mario Orlando Dr. Esp.
    Hepatitis A is a liver disease caused by hepatitis A virus (HAV). This is mainly transmitted when an uninfected person (not vaccinated) eat or something contaminated by feces of an infected person drinks virus. The disease is closely associated with the lack of clean water, poor sanitation and poor personal hygiene. This disease has different clinical spectrum, ranging from the anictérica form, cholestatic and fulminant form. Worldwide they are presented annually between 80 and 100 million cases, and about 40% of the population lives in areas at risk for hepatitis. This clinical case corresponds to a male patient, 22 years old, with a history of sibling with Hepatitis A 1 month, does not refer transfusions or performing any tattoo on his body, who eight days ago has widespread jaundiced and abdominal pain mild located in mesogastrio and nausea that do not reach vomiting. Health Subcentro goes to where he is valued and decide to transfer to study jaundice. In the Emergency Service he is valued and physical examination as an important moment jaundice but without abdominal pain or hepatomegaly. Additional tests are performed demonstrating elevation of total bilirubin at the expense of direct bilirubin, elevated transaminases and serology for hepatitis virus A, B, and C negative. Abdominal ultrasound is observed Choledochal not dilated or some obstructive cause, and admission to the Department of General Surgery is decided by apparent cholestatic box without discarding box Obstructive origin and to carry out more tests image. Is subsequently evaluated by the Gastroenterology considering that the patient has characteristic jaundice of cholestatic hepatitis, so applying Anticore and immunoglobulins M and G, in which after completion HAV IgM positive is observed, reaching the conclusion that the jaundice present the patient was a characteristic of a Hepatitis a cholestatic.