A Case Report of Acute Hepatitis A Infection in Pregnancy.
- Author:
Bo Young KIM
1
;
Won Sik YOON
;
Hyun Young AHN
;
Chan Joo KIM
;
Jong Chul SHIN
;
Ji Young KWON
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. jiyoungk@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Acute hepatitis A;
Pregnancy;
Labor
- MeSH:
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
- From:Korean Journal of Perinatology
2010;21(2):180-184
- CountryRepublic of Korea
- Language:Korean
-
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.
