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To the Editor: The hepatitis E virus (HEV) is known to cause enterically transmitted epidemic and sporadic forms of hepatitis in tropical and subtropical countries. HEV has been reported occasionally in areas where the disease is not endemic1; however, such infections are predominantly associated with a history of travel to tropical or subtropical countries. Recently, HEV variants have been isolated in areas where the disease is not endemic, such as the United States (variant, HEV US-1).2 The impact of this finding on the incidence of hepatitis in Western Europe is unclear. We report a case of sporadic hepatitis E . . .
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Worm et al. (1998) studied this question.
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