Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- jaundice/scleral icterus
- asterixis
Outros fatores diagnósticos
- asymptomatic
- malaise
- fatigue
- right upper quadrant tenderness
- fever
- anorexia
- nausea/vomiting
- arthralgia/arthritis
- abdominal pain
- diarrhea
- neurologic manifestations
- signs of coagulopathy
Fatores de risco
- born or living in or travel to geographic regions where HEV is endemic
- immunosuppression
- infected mother (for fetus)
- person-to-person transmission
- occupational exposure
- blood/blood products transfusion
- organ transplantation (if organ donor is HEV-positive)
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- serum antibody to HEV
- HEV RNA nucleic acid amplification techniques (NAATs)
- serologic tests for other causes of viral hepatitis
- liver biochemistries
- CBC
- basic metabolic panel
- coagulation profile
Investigações a serem consideradas
- abdominal ultrasound
- CT/MRI
- liver biopsy
Algoritmo de tratamento
acute HEV infection
chronic HEV infection: nonpregnant
chronic HEV infection: pregnant
Colaboradores
Autores
Jawad Ahmad, MD, FRCP, FAASLD
Professor of Medicine
Division of Liver Diseases
Mount Sinai Hospital
New York
NY
Declarações
JA declares that he has no competing interests.
Revisores
Scott J. Cotler, MD
Professor of Medicine
Director, Division of Hepatology
Loyola University Medical Center
Maywood
IL
Declarações
SJC declares that he has no competing interests.
David John Mutimer, MBBS, MD
Professor of Clinical Hepatology
University of Birmingham
Birmingham
UK
Declarações
DJM declares that he has no competing interests.
Referências
Principais artigos
Centers for Disease Control and Prevention. Viral hepatitis: hepatitis E. Jun 2020 [internet publication].Texto completo
European Association for the Study of the Liver. EASL clinical practice guidelines on hepatitis E virus infection. J Hepatol. 2018 Jun;68(6):1256-71.Texto completo Resumo
Public Health England. Hepatitis E: symptoms, transmission, treatment and prevention. May 2020 [internet publication].Texto completo
Miller JM, Binnicker MJ, Campbell S, et al; Infectious Diseases Society of America and the American Society for Microbiology. A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2018 update by the Infectious Diseases Society of America and the American Society for Microbiology. Clin Infect Dis. 2018 Aug 31;67(6):e1-94.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Acute viral hepatitis A
- Acute viral hepatitis B
- Acute viral hepatitis C
Mais Diagnósticos diferenciaisDiretrizes
- Viral hepatitis: hepatitis E
- Clinical practice guidelines on hepatitis E virus infection
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