Abstract

MACHICADO RIVERO, Jorge David; BERNARDO MANRIQUE, Roberto Jesús  and  TAGLE ARROSPIDE, Martín. Acute hepatitis secondary to Hepatitis E.: report of two cases from a population of high socioeconomic level Lima. Rev. gastroenterol. Perú [online]. 2010, vol.30, n.4, pp.357-362. ISSN 1022-5129.

We describe two cases with acute hepatitis of patients who live at Lima, Peru and have a high socio-economic status. The first case, is a 58 years old female with asthenia, jaundice, coluria and pruritus. The physical exam revealed jaundice and laboratory exams revealed transaminasemia (AST= 1754, ALT= 2680) and hyperbilirubinemia (total bilirrubin= 7.98, direct bilirrubin=7.03). Furthering serologic tests, revealed a positive test for anti-Hepatitis E virus IgM and IgG. All the symptoms were remitted by the 3rd week of disease. The second case described, is a 64 years old female with asthenia, hyporexia and abdominal pain, without jaundice. The physical exam was normal and initial laboratory tests revealed an AST= 2999 and ALT= 4370. All the symptoms were remitted by the 3rd week of disease. The ELISA testing for anti-Hepatitis E virus IgM, was positive. In both cases other viral hepatitis serologic tests were negative. We make a description of these 2 cases and a literature review, because these both, are the first cases of Hepatitis E described in our city, and for the relevance of this virus in current medical knowledge for patients with non A, non B, non C acute hepatitis.

Keywords : Hepatitis E; acute hepatitis; Peru.

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