Hepatitis E Virus and Chronic Hepatitis in Organ-Transplant Recipients

Nassim Kamar(Inserm), Janick Sèlves, Jean‐Michel Mansuy, Leila Ouezzani(Hôpital Rangueil), Jean‐Marie Péron(Inserm), Joëlle Guitard(Hôpital Rangueil), Olivier Cointault(Hôpital Rangueil), Laure Esposito(Hôpital Rangueil), Florence Abravanel(Inserm), Marie Danjoux, D. Durand(Hôpital Rangueil), Jean‐Pierre Vinel(Centre Hospitalier Universitaire de Toulouse), Jacques Izopet(Inserm), Lionel Rostaing(Inserm)
New England Journal of Medicine
February 20, 2008
10.1056/nejmoa0706992
Cited by 1,336Open Access
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Abstract

Hepatitis E virus (HEV) is considered an agent responsible for acute hepatitis that does not progress to chronic hepatitis. We identified 14 cases of acute HEV infection in three patients receiving liver transplants, nine receiving kidney transplants, and two receiving kidney and pancreas transplants. All patients were positive for serum HEV RNA. Chronic hepatitis developed in eight patients, as confirmed by persistently elevated aminotransferase levels, serum HEV RNA, and histologic features of chronic hepatitis. The time from transplantation to diagnosis was significantly shorter and the total counts of lymphocytes and of CD2, CD3, and CD4 T cells were significantly lower in patients in whom chronic disease developed.

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