[Acute hepatitis secondary to hepatitis E. Report of two cases from a population of high socioeconomic level Lima].
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 bilirubin= 7.98, direct bilirubin=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.
Clínica Angloamericana, Lima, Perú.
Machicado
M
Rivero Jorge David
Bernardo
B
Manrique Roberto Jesús
Tagle
T
Arróspide Martín
D000208:Acute Disease; D005260:Female; D016751:Hepatitis E / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D010568:Peru; D012959:Socioeconomic Factors; D014504:Urban Health