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July 1, 1996Hepatology

Prolonged fecal excretion of hepatitis A virus in adult patients with hepatitis A as determined by polymerase chain reaction

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Key result

Fecal shedding of HAV RNA was detected in 50% (5 of 10) of adult patients after symptom onset, lasting up to 3 months, even after ALT levels normalized.

Why the study?

How long does fecal shedding of hepatitis A virus last in adult patients with sporadic hepatitis A?

Population

10 adult patients with sporadic hepatitis A

Design

Case_series

Follow-up

up to 3 months

Authors

HYHiroshi YotsuyanagiNihon University

Discussion

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Implication

May extend transmission risk beyond symptom resolution; hypothesis-generating in small case series, larger studies needed.

Study Design

Type

Observational (n=10)

Structured PICO

How long does fecal shedding of hepatitis A virus last in adult patients with sporadic hepatitis A?

P
Population
10 adult patients with sporadic hepatitis A evaluated for the duration of fecal HAV RNA shedding using RT-PCR.
E
Exposure
Reverse-transcription (RT)-PCR system for detection of fecal HAV RNA
O
Outcome
Duration of fecal HAV sheddingsurrogate

Fecal shedding of HAV can last for months after resolution of symptoms, indicating patients could remain a source of transmission longer than previously thought.

Cite This Study

Hiroshi Yotsuyanagi (1996) conducted an observational in Hepatitis A (n=10). Sporadic hepatitis A was evaluated on Fecal HAV RNA detection after onset of clinical symptoms. Fecal shedding of HAV RNA was detected in 50% (5 of 10) of adult patients after symptom onset, lasting up to 3 months, even after ALT levels normalized.

synapsesocial.com/papers/6a99d7388fdb2eaad045a4c7https://doi.org/10.1053/jhep.1996.v24.pm0008707246
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prolonged Fecal Excretion of Hepatitis A Virus in Adult Patients With Hepatitis A As Determined by Polymerase Chain Reaction1996 · 84 citations
  2. 2Faecal Excretion of Hepatitis a Virus in Patients with Symptomatic Hepatitis a Infection1981 · 24 citations
  3. 3Duration of viremia in human hepatitis a viral infection as determined by polymerase chain reaction1993 · 66 citations
  4. 4Excretion of Hepatitis A Virus (HAV) in Adults: Comparison of Immunologic and Molecular Detection Methods and Relationship between HAV Positivity and Infectivity in Tamarins1999 · 43 citations
  5. 5Chronic hepatitis A with persistent viral replication1996 · 52 citations