Hepatitis e Virus 1

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HEPATITIS E VIRUS

BY- DR ISRAT JAHAN DINA


HEPATITIS E VIRUS
• HEV is a major cause of hepatitis
transmitted by the fecal-oral
route.
• It is thought to be more common
than HAV in many developing
countries.
• .
• Properties:HEV is a
nonenveloped, single-stranded
RNA virus classified as a
member of the hepevirus
family.
• Clinical features: Clinically, the
disease resembles hepatitis A,
with the exception of a high
mortality rate in pregnant
women. Most cases resolve
without sequelae.
• Chronic infection resulting in chronic
hepatitis and cirrhosis, but not HCC,
occurs in immunocompromised
individuals such as HIV-infected
patients, those who are receiving
cancer chemotherapy, and patients
who are receiving immuno-
suppressive drugs to prevent rejection
of solid organ transplants.
• Diagnosis:The diagnosis is
typically made by detecting
IgM antibody to HEV. A PCR
assay that detects HEV RNA in
patient specimens is available.
• Prevention and Treatment :
There is no antiviral drug
available for acute infection in
immunocompetent patients. In
immunocompromised patients,
ribavirin cleared HEV viremia in
solid organ transplant
recipients. There is no vaccine

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