Viral Hepatitis
·
Causes:
o Prime target is the liver: Hep A, B, C, D, E,
o May affect liver secondarily: EVB and CMV
·
Distribution of cause of acute
hepatitis (e.g. ALT > 1000) in Auckland: A - 25%, B – 25%, EBV – 25%, C – 5
– 10%, some CMV
·
Clinical course: variable – from
asymptomatic to fulminant/fatal. Common
symptoms:
o Malaise, weakness, lethargy
o Flu like illness: tiredness, fever, myalgia
o Anorexia, nausea, vomiting (especially Hep A)
o Jaundice (uncommon)
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