Professional Documents
Culture Documents
Dr.Abiy f.
Nov 2019
Arsi University
OUTLINE OF PRESENTATION
Hepatitis definitions
Discussion of each types of viral hepatitis
HEPATITIS
– Standard precautions
– Passive immunity with HBIG (Hepatitis B
Immune Globulin)
– Active immunization with hepatitis B
recombinant vaccine (3 dose regimen)
HEPATITIS B VIRUS: HBV
Symptoms
Onset insidious, sometimes lasting 1.5 – 6
months (avg ~ 60-90 days)
Clinical course variable: ~66% asymptomatic
or mild flu-like illness
HEPATITIS B VIRUS: HBV
Symptoms:
Not all recover from acute disease:
Fatal (fulminant course): 0.5-1.0% of HB cases
Chronic (never recover): 10-15% of all HB
cases
2-10% adults
80-90% of infants infected during first year of life
30-50% children infected at 1-4 yrs old
HEPATITIS B VIRUS:HBV
Symptoms
– More severe symptoms compared to HAV:
Abdominal discomfort, diarrhea, fatigue,
hepatomegaly, hepatic tenderness, malaise,
anorexia, fever, nausea, vomiting
Jaundice: ~30-50% adults
Urine: amber color, ‘dark’
HBV:SEROLOGICAL MARKERS
AST & ALT are elevated several days before the onset
of symptoms; return to normal within 1-2 months
after the peak severity of disease.
Treatment: supportive
FULMINANT HEPATITIS
Severe hepatic necrosis is Rare condition
Fulminant hepatitis is seen primarily in
hepatitis B(>50%), D, and E(1-2% in pregnant
20%), but rare fulminant cases of hepatitis A
& C.
Patients usually present with signs and
symptoms of encephalopathy that may
evolve to deep coma. The liver is usually
small and the PT excessively prolonged.
CONT…
The combination of rapidly shrinking liver
size, rapidly rising bilirubin level, and
marked prolongation of the PT, even as
aminotransferase levels fall, together with
clinical signs of confusion, disorientation,
ascites, and edema, indicates that the
patient has hepatic failure with
encephalopathy.
Mortality rate is > 80%
Treatment-liver transplantation
THANK YOU!!!