Hammond, Angela and Ramersdorfer, C. and Palitzsch, Klaus-Dieter and Schoelmerich, Juergen and Lock, G. (1999) Fatal liver failure after corticosteroid treatment of a hepatitis B virus carrier. DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 124 (22). pp. 687-690. ISSN 0012-0472, 1439-4413
Full text not available from this repository. (Request a copy)Abstract
History and admission findings: A 69-year-old man, a known carrier of hepatitis B virus (HBV) after blood transfusion, developed increasingly severe jaundice with high transaminase levels after receiving steroids in high doses. Significant preceding conditions included chronic obstructive pulmonary disease, coronary heart disease, ulcerative colitis in remission and diabetes mellitus. On admission he was jaundiced and experienced pain on pressure below the right costal margin. Investigations: Serology demonstrated reactivated hepatitis B with an increase of the HBV-DNA concentration in serum, as well as seroconversion with HBe antigen, anti-HBc-IgM antibodies and absence of anti-H Be antibodies. Diagnosis, treatment and course: The history and serological findings indicated reactivation of the hepatitis B by the steroid treatment. Progressive liver failure developed. A marked reduction of virus particles in the blood occurred after a therapeutic trial with the nucleoside analog lamivudine, but the patient died of liver failure 30 days after admission. Conclusion: Steroids should be given to known hepatitis B carriers only if strictly indicated, because of the danger of acute deterioration of liver functions by reactivation of the disease with possibly fatal consequences. If steroids are administered, liver functions and serological hepatitis markers should be closely monitored so that any necessary treatment can be quickly initiated.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CHRONIC ACTIVE HEPATITIS; CONTROLLED TRIAL; INTERFERON-ALFA; SHORT-TERM; INFECTION; THERAPY; TRANSPLANTATION; LAMIVUDINE; WITHDRAWAL; CIRRHOSIS; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 Feb 2023 13:53 |
| Last Modified: | 07 Feb 2023 13:53 |
| URI: | https://pred.uni-regensburg.de/id/eprint/49177 |
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