İsmail Hamdi KARA, Cemal ÜSTÜN, Mehmet Faruk GEYIK, Bünyamin DIKICI

Belirtisiz Bir Hepatit A Enfeksiyonu Olgusu

Hepatit A virüs infeksiyonu gelismekte olan ülkelerde özellikle çocuklarda sik görülen bir infeksiyondur. Oral-fekal yolla bulasan hastalikta kisisel temas çok önemlidir. Aile hekimligi poliklinigine basvuran 11 yasinda bir kiz çocugunda, 25 gün önce hepatit A geçiren bir arkadasiyla temas öyküsü mevcuttu. Temastan 15 gün sonra hastada soguk alginligini animsatan sikayetler gelismisti. Yapilan laboratuvar incelemelerinde anti-HAV IgM pozitifligi disinda anormal bir deger bulunamadi. Bir yil boyunca düzenli araliklarla rutin takibe alinan hastanin biyokimyasal tetkikleri sürekli olarak normal bulundu. Hastaligin baslangicindan itibaren pozitif olan anti-HAV IgM’in 12. ayda negatiflestigi saptandi. Literatür incelemesinde temas sonrasi gelisen hepatit A olgusu saptanamadigi için mevcut olgu sunulmaya deger bulundu

Anahtar Kelimeler:

Belirtisiz hepatit A, oral-fekal yolla bulas

A Case of Asymptomatic Hepatitis A virus infection

Hepatitis A infection is a common infectious disease seen especially in children of developing countries. Personal contact is very considerable among the fecal-oral contagious diseases. A 11-yearsold girl, referring to outpatient clinics of department of family medicine, has the history of contact with her hepatitis A infected friend. Flu-like symptoms arose in 15 days after the contact. Any abnormal parameter except anti-HAV Ig M positiveness wasn’t detected in the laboratory studies. Biochemical parameters were reported as normal during the one-year period of routine control. It was assigned that anti-HAV Ig M, being positive since the beginning of the disease, turned to negative in the 12th month. Because no hepatitis A case after a contact history was established in the literature, existing case was distinguished to present

Keywords:

Asymptomatic hepatitis A, oral-fecal contamination,

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