Persistent cholestasis due to hepatitis A virus in children. Case report.

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Franklin Iván Velasco Martínez
Libardo Johanny Sandoval Suárez
Eric Mauricio Ehrhardt Morón
Victor Manuel Mora Bautista

Abstract

Introduction: Hepatitis due to the hepatitis A virus is usually self-limiting in 90% of cases, but it can have atypical manifestations such as persistent cholestasis (up to 15%, according to some references). Not considering that concept leads to more significant morbidity from unnecessary examinations and treatments. Objective: To present the first pediatric case of this atypical clinical form of hepatitis A in the Latin American medical literature to raise awareness of its diagnosis and treatment. Case report: 13-year-old with cholestasis onset 23 days after the beginning of hepatitis A symptoms (4 weeks), improving symptomatically after a few days, without specific treatment, and normalization at four months (16 weeks). Conclusions: The usual course of hepatitis A infection is a rapid and anicteric disease, a cholestatic form can occur for up to 8 weeks in many cases, and only longer times are considered unusual. It is recommended to follow all cases at least two weeks after the resolution of symptoms. The treatment of choice is a short course of prednisolone.

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How to Cite
Velasco Martínez, F. I., Sandoval Suárez, L. J., Ehrhardt Morón, E. M., & Mora Bautista, V. M. (2023). Persistent cholestasis due to hepatitis A virus in children. Case report . Pediatría, 55(Suplemento 1), 7–10. https://doi.org/10.14295/rp.v55iSuplemento1.189
Section
Case report
Author Biographies

Franklin Iván Velasco Martínez, Hospital Local de Piedecuesta

Médico general

Libardo Johanny Sandoval Suárez, Hospital Local de Piedecuesta

Médico general

Eric Mauricio Ehrhardt Morón, Hospital Local de Piedecuesta

Médico general

Victor Manuel Mora Bautista, Universidad Industrial Santander

Médico UIS - Pediatra UIS
Pediatra Urgencias CMISL
Docente urgencias pediátricas UIS Miembro Grupo de Síndrome de Down de Santander Presidente Junta Directiva SCP - Santander

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