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Chronic Hepatitis E With Genotype 1-Masquerading as Allograft Rejection After LiverTransplantation.


ABSTRACT: Hepatitis E is one of the leading causes of acute viral hepatitis worldwide. Chronic infection with hepatitis E is less common and limited to immunosuppressed patients and is usually due to genotype 3 of the virus. Genotype 1, the most prevalent strain in the South Asian region, is seldom known to be associated with chronic hepatitis. Here we describe a case of chronic hepatitis E with genotype 1 in a post-liver transplant setting. In the index case, previously compensated cryptogenic cirrhosis was decompensated by an acute hepatitis E infection, which necessitated liver transplantation because of acute chronic liver failure. This later progressed to chronicity. This case may have significant implications in management, especially in the post-liver transplant setting.

SUBMITTER: Rathi S 

PROVIDER: S-EPMC8103309 | biostudies-literature | 2021 May-Jun

REPOSITORIES: biostudies-literature

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Chronic Hepatitis E With Genotype 1-Masquerading as Allograft Rejection After LiverTransplantation.

Rathi Sahaj S   Duseja Ajay A   Thakur Vikram V   Ratho Radha K RK   Singh Mini P MP   Taneja Sunil S   Das Ashim A   Aggarwal Rakesh R   Dhiman Radha K RK   Chawla Yogesh K YK  

Journal of clinical and experimental hepatology 20200718 3


Hepatitis E is one of the leading causes of acute viral hepatitis worldwide. Chronic infection with hepatitis E is less common and limited to immunosuppressed patients and is usually due to genotype 3 of the virus. Genotype 1, the most prevalent strain in the South Asian region, is seldom known to be associated with chronic hepatitis. Here we describe a case of chronic hepatitis E with genotype 1 in a post-liver transplant setting. In the index case, previously compensated cryptogenic cirrhosis  ...[more]

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