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ID 32914
JaLCDOI
フルテキストURL
著者
Miyake, Yasuhiro Okayama University
Iwasaki, Yoshiaki Okayama University
Ishikawa, Shin Okayama University
Tatsukawa, Masashi Okayama University
Nawa, Toru Okayama University
Kato, Jun Okayama University
Takaki, Akinobu Okayama University
Kobashi, Haruhiko Okayama University
Sakaguchi, Kohsaku Okayama University
Shiratori, Yasushi Okayama University
抄録
We report herein a case with acute hepatitis due to hepatitis B virus genotype Ae, concurrent with amebic colitis. A 39-year-old homosexual Japanese man was admitted to our hospital with jaundice. Laboratory tests showed an elevation of transaminase and positivity for hepatitis B surface antigen and IgM-type antibody to hepatitis B core antigen. The hepatitis B virus genotype was determined to be Ae. Furthermore, a mud-like stool with blood and mucous had sometimes been noted during the past 3 years, and amebic colitis was shown by colonofi berscopy during hospitalization. The patient was diagnosed with acute hepatitis B, concurrent with amebic colitis, and was successfully treated with lamivudine and metronidazole. In Japanese patients with acute hepatitis B virus genotype A infection, homosexual activity tends to be high. Furthermore, in Japanese homosexual men, amebiasis has been increasing. Thus, in Japanese patients with acute hepatitis B, a determination of genotype should be performed in order to investigate the route of transmission of hepatitis B virus, and a search for amebiasis should be performed in patients with acute hepatitis due to hepatitis B virus genotype A. Furthermore, education of homosexual men regarding hepatitis B virus, hepatitis B virus vaccination, and amebiasis is urgently required.
キーワード
hepatitis B virus
genotype
homosexual
amebic colitis
lamivudine
Amo Type
Case Report
発行日
2007-02
出版物タイトル
Acta Medica Okayama
61巻
1号
出版者
Okayama University Medical School
開始ページ
35
終了ページ
39
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT