[Features of clinical evolution of severe acute viral hepatitis. Series of 72 cases].
The fulminant hepatic failure is a dramatic complication of acute viral hepatitis. Despite therapeutical efforts, the mortality of these forms of acute hepatitis is rated in most studies from 60 to 90%.


METHODS
We made a retrospective study that included 2014 patients hospitalized at the Bacau County Hospital from January 1996 to December 2005 with the diagnosis of acute viral hepatitis. Among these, 72 patients presented severe forms of hepatitis.


RESULTS
13 patients presented fulminant hepatic failure. In most cases, etiology was represented by the B-type virus (66.7%). Defining for the fulminant form of hepatitis are the Quick index under 50%, the increase of total serum bilirubine and the leucocitosis associated with neutrophilia.


CONCLUSIONS
Mortality in fulminant forms of hepatitis was of 61.5%, respectively 75% in the case of the B-type viral hepatitis. Key words: SEVERE
Universităţii de Medicină şi Farmacie Gr. T. Popa Iaşi, Spitalul Judeţean Bacău Secţia Boli Infecţioase adulţi.
Elvira
E
Antoniu
V
V
Luca
D000208:Acute Disease; D006509:Hepatitis B / Q000150:complications / Q000401:mortality; D006525:Hepatitis, Viral, Human / Q000150:complications* / Q000175:diagnosis / Q000401:mortality*; D006801:Humans; D017114:Liver Failure, Acute / Q000401:mortality* / Q000821:virology*; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D012720:Severity of Illness Index; D015996:Survival Rate