title: [A domestic human case of hepatitis E in Finland].
abstract: We describe the first verified domestic HEV case in a previously healthy 53-year-old man who presented a three-day history of upper stomach pain, nausea, fever, arthralgia and fatigue. At the first phase laboratory tests revealed high levels of AST and ALT and at the second phase high levels of bilirubin. Serum was positive for anti-HEV IgM and for HEV RNA confirming the diagnosis of acute hepatitis E. The HEV was genotype 3. Jaundice resolved in three months. In nonendemic areas autochthonous hepatitis E is more common than previously recognized and is possible in patients with acute hepatitis.
authors: OYS.
authors: Olli
authors: O
authors: Kettunen
authors: Helsingin yliopisto.
authors: Marjo
authors: M
authors: Vuorela
authors: Helsingin yliopisto.
authors: Markku
authors: M
authors: Kuusi
authors: Helsingin yliopisto.
authors: Tuija
authors: T
authors: Kantala
authors: Helsingin yliopisto.
authors: Leena
authors: L
authors: Maunula
authors: OYS.
authors: Katri
authors: K
authors: Jalava
authors: OYS.
authors: Timo
authors: T
authors: Blomster
authors: OYS.
authors: Ritva
authors: R
authors: Koskela
authors: OYS.
authors: Kirsi-Maria
authors: KM
authors: Haapasaari
mesh_terms: D005387:Finland; D005838:Genotype; D016751:Hepatitis E / Q000175:diagnosis* / Q000235:genetics; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D012367:RNA, Viral / Q000097:blood
chemical_list: D007075:Immunoglobulin M; D012367:RNA, Viral