Korean J Perinatol.
2010 Jun;21(2):180-184.
A Case Report of Acute Hepatitis A Infection in Pregnancy
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. jiyoungk@catholic.ac.kr
Abstract
- Hepatitis A virus infection is the most common cause of acute hepatitis but is rarely reported during pregnancy. We report a case of acute hepatitis A in a 28-year old pregnant woman at 40 weeks of gestation. Her initial complaint was fever. Three days after, she developed spontaneous labor and delivered a healthy baby vaginally. Her laboratory examination showed thrombocytopenia, elevated D-dimer and decreased Fibrinogen level as well as markedly elevated liver enzymes. In addition, oliguria and pulmonary effusion were also noted. Hepatitis A infection during pregnancy may be associated with development of labor. And the differential diagnosis with preeclampsia and acute fatty liver of pregnancy is very important for the management.
Keyword
MeSH Terms
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Diagnosis, Differential
Fatty Liver
Female
Fever
Fibrin Fibrinogen Degradation Products
Fibrinogen
Hepatitis
Hepatitis A
Hepatitis A virus
Humans
Liver
Oliguria
Pre-Eclampsia
Pregnancy
Pregnancy Complications
Pregnant Women
Thrombocytopenia
Fatty Liver
Fibrin Fibrinogen Degradation Products
Fibrinogen
Pregnancy Complications
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