Foetomaternal outcomes of hepatitis E infection outbreak in North India

Indian J Med Microbiol. 2018 Jan-Mar;36(1):121-123. doi: 10.4103/ijmm.IJMM_16_422.

Abstract

Hepatitis E infection (HEV) in pregnant females, especially in the third trimester is associated with poor foetomaternal outcomes. However, the mechanisms of severe liver injury remain obscure. In a recent HEV outbreak in North India, six pregnant females were detected to be positive for HEV infection with concomitant hepatitis A infection in three pregnant females. None of the pregnant females were positive for hepatitis B or hepatitis C infection. The mortality was 50% in pregnant females. In an outbreak, besides, testing for hepatitis markers and understanding the pathogenesis of HEV infection in pregnancy, improving basic hygienic standards is of utmost importance.

Keywords: Hepatitis E infection; outcomes; pregnancy.

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Viral / blood
  • Disease Outbreaks
  • Female
  • Hepatitis A / complications
  • Hepatitis A / mortality
  • Hepatitis A virus / isolation & purification*
  • Hepatitis B / complications
  • Hepatitis B / mortality
  • Hepatitis B virus / isolation & purification*
  • Hepatitis E / complications
  • Hepatitis E / mortality*
  • Hepatitis E virus / isolation & purification*
  • Humans
  • India
  • Liver / injuries
  • Liver / virology
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications, Infectious / mortality*
  • Pregnancy Complications, Infectious / virology*
  • Pregnancy Outcome
  • Young Adult

Substances

  • Antibodies, Viral