보존적 치료로 호전된 시력소실을 동반한 급성 A형 간염 1예
Conservative Care was Successfully Used to Manage Acute Hepatitis A Infection with Blindness
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초록
저자 등은 시력저하를 동반한 급성 대사성 뇌병증이 급성A형 간염과 동반하여 발생할 수 있음을 확인하였고, 급성 A 형 간염 환자에서 적극적인 보존적 요법으로 시력소실 등의신경학적 증상에 대해 능동적인 대처를 권고하며 국내에서보고된 바가 없기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Hepatitis A is usually a mild, self-limiting illness, but in certain cases it can develop into a severe or fatal disease. The most common symptoms of acute hepatitis A virus (HAV) infection are fever, myalgia, nausea, vomiting, jaundice, and abdominal pain. Extrahepatic symptoms are rare, especially neurologic manifestations. We investigated a 34-year-old male who presented after suffering two days of fever, chills and general myalgia. His condition gradually deteriorated and he developed sudden blindness on day nine. This blindness lasted for 20 min and at this point abnormal brain images were observed. Initial tests for immunoglobulin M anti HAV were negative. These tests were repeated, later confirming acute HAV infection. After conservative management, the individual fully recovered. We report this extremely rare acute HAV infection case with metabolic encephalopathy exhibiting transient blindness. (Korean J Med 2011;80:S305-S309)
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