title: A case of acute hepatitis B related to previous gynecological surgery in Japan.
abstract: A 41-year-old woman became ill with acute hepatitis B after gynecological surgery performed by a surgeon who was hepatitis B surface antigen positive. The surgeon was positive for hepatitis B e antigen, and HBV DNA concentrations in the serum, saliva, and sweat of the surgeon were very high. HBV genotype and partial HBV DNA sequences from the HBV-infected surgeon were identical to those in the HBV-infected patient. Extensive research by the committee including infection control and prevention specialists judged the source of infection to be a surgeon infected with HBV. Transmission of HBV from a healthcare worker to patients who are not immune to HBV can actually happen. This case report illustrates the importance of a stringent policy of a nationwide HBV universal vaccination program.
authors.affiliation: Department of Gastroenterology, Yokohama Municipal Citizen's Hospital, 56 Okazawa-cho, Hodogaya-ku, Yokohama, Kanagawa, 240-8555, Japan.
authors.forename: Shinya
authors.initials: S
authors.lastname: Sugimoto
authors.forename: Shuichi
authors.initials: S
authors.lastname: Nagakubo
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ito
authors.forename: Yuya
authors.initials: Y
authors.lastname: Tsunoda
authors.forename: Satoshi
authors.initials: S
authors.lastname: Imamura
authors.forename: Toshihide
authors.initials: T
authors.lastname: Tamura
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Morohoshi
authors.forename: Yuji
authors.initials: Y
authors.lastname: Koike
authors.forename: Yuriko
authors.initials: Y
authors.lastname: Fujita
authors.forename: Syoko
authors.initials: S
authors.lastname: Ito
authors.forename: Setsuko
authors.initials: S
authors.lastname: Fujita
authors.forename: Natsuo
authors.initials: N
authors.lastname: Tachikawa
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Komatsu
mesh_terms: D000328:Adult; D001483:Base Sequence; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006509:Hepatitis B / Q000175:diagnosis / Q000635:transmission* / Q000821:virology; D006515:Hepatitis B virus / Q000145:classification / Q000235:genetics / Q000302:isolation & purification; D006801:Humans; D017757:Infectious Disease Transmission, Professional-to-Patient; D007564:Japan; D008969:Molecular Sequence Data; D016415:Sequence Alignment; D017422:Sequence Analysis, DNA