title: [Acute viral hepatitis A and C: report of a case].
abstract: We present a case of acute hepatitis by simultaneous A and C virus infection. The coinfection was suspected due to the high levels of transaminases lasting more than 9 months after onset of the illness. During the early stages of the illness, the patient had IgM antibodies to hepatitis A virus. Serological tests for hepatitis B and C viruses, cytomegalovirus and Epstein-Bar virus were negative. Due to the persistently high transaminase levels, we repeated the serology, detecting positive results for hepatitis C antibody, while hepatitis B serology remained negative as well that for all other virus tested. With these findings, we believe that a patient with hepatitis A of long duration, requires additional serological examinations to determine the possibility of coinfection by another virus.
authors.affiliation: Servicio de Aparato Digestivo, Hospital La Paz, Madrid.
authors.forename: M
authors.initials: M
authors.lastname: González Murillo
authors.forename: J C
authors.initials: JC
authors.lastname: Erdozain Sosa
authors.forename: J A
authors.initials: JA
authors.lastname: Rodríguez Blanes
authors.forename: F
authors.initials: F
authors.lastname: Muñoz Núñez
authors.forename: E
authors.initials: E
authors.lastname: Guerrero Vega
authors.forename: P
authors.initials: P
authors.lastname: Castillo Grau
authors.forename: M A
authors.initials: MA
authors.lastname: Berges Magaña
authors.forename: D
authors.initials: D
authors.lastname: Reyes Rodríguez
authors.forename: R
authors.initials: R
authors.lastname: Del Rey Sanz
mesh_terms: D000208:Acute Disease; D000328:Adult; D006506:Hepatitis A / Q000175:diagnosis / Q000628:therapy; D006526:Hepatitis C / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male