論文

国際誌
2022年

A Case of Hepatitis E Virus Infection: One of Differential Diagnosis of Liver Injury in Patients Undergoing Peritoneal Dialysis.

International medical case reports journal
  • Tomohiro Yan
  • ,
  • Yukinao Sakai
  • ,
  • Kohsuke Terada
  • ,
  • Sho Okano
  • ,
  • Sayuri Kawasaki
  • ,
  • Tetsuya Kashiwagi
  • ,
  • Masato Iwabu

15
開始ページ
557
終了ページ
561
記述言語
英語
掲載種別
DOI
10.2147/IMCRJ.S385393

BACKGROUND: There are numerous causes of liver function disorder in patients undergoing peritoneal dialysis (PD). Infection with the Hepatitis E virus (HEV) is a rare cause of liver injury, and the behavior of HEV in patients with PD is unclear. Since patients undergoing dialysis are frequently polypharmatic, liver injury caused by HEV infection may be misdiagnosed as drug-induced liver injury. CASE PRESENTATION: A 61-year-old woman with PD developed abrupt elevation of blood transaminase levels on a routine outpatient session. Since the patient has been receiving tolvaptan as the only new medication, we suspected tolvaptan induced liver injury. In further investigating the cause of liver injury, the blood screening test was found to be positive for HEV-IgA. The patient was diagnosed with HEV infection, and had a self-limited course. CONCLUSION: When encountered with patients developing liver injury during PD, HEV infection should be included in the differential diagnosis.

リンク情報
DOI
https://doi.org/10.2147/IMCRJ.S385393
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/36245962
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562814
ID情報
  • DOI : 10.2147/IMCRJ.S385393
  • PubMed ID : 36245962
  • PubMed Central 記事ID : PMC9562814

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