Invasive meningoencephalitis as the first manifestation of hepatitis A

Guillaume, Maxime; Mouna, Lina; Coustillères, François; Lemée, Véronique; Roque–Afonso, Anne–Marie; Mourez, Thomas; Lefaucheur, Romain

doi:10.1111/jvh.13177

Cited by 2 publications

(2 citation statements)

References 13 publications

(14 reference statements)

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“…158 Meningoencephalitis was also reported to be associated with HAV infection. [159][160][161] Other extrahepatic features associated with HAV infection Cardiomyopathy and myocarditis following HAV infection were also reported. [162][163][164] Uveitis, arthritis, and acute pancreatitis may also be associated with HAV infection.…”

Section: Neuromuscular Complicationsmentioning

confidence: 99%

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Recent advances in hepatitis A virus research and clinical practice guidelines for hepatitis A virus infection in Japan

Kanda,

Sasaki‐Tanaka,

Ishii

et al. 2023

Hepatology Research

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In 2018, there was a hepatitis A outbreak in Japan, and hepatitis A virus (HAV) infection is considered a sexually transmitted disease. In general, patients with hepatitis A should be given attention, and this disease should be prevented more than ever. The Japan Agency for Medical Research and Development (AMED) Hepatitis A and E viruses (HAV and HEV) Study Group has worked on the project to create “Recent Advances in Hepatitis A Virus (HAV) Research and Clinical Practice Guidelines for HAV Infection in Japan”. The group consists of expert hepatologists and virologists who gathered at virtual meeting on August 5, 2023. Data about the pathogenesis, infection routes, diagnosis, complications, several factors for the severities, vaccination, and current and future treatments for hepatitis A were discussed and debated for a draft version. The participants assessed the quality of cited studies. The finalized recommendations are presented in this review. The recent advances in HAV research and clinical practice for HAV infection in Japan, have been reviewed by the AMED HAV and HEV Study Group.

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Section: Neuromuscular Complicationsmentioning

confidence: 99%

“…In total, 5% of patients with Guillain‒Barré syndrome had positive serology for recent HAV infection 158 . Meningoencephalitis was also reported to be associated with HAV infection 159–161 …”

Section: Consensus Statements and Recommendationsmentioning

confidence: 99%

Recent advances in hepatitis A virus research and clinical practice guidelines for hepatitis A virus infection in Japan

Kanda,

Sasaki‐Tanaka,

Ishii

et al. 2023

Hepatology Research

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Acute hepatitis A complicated by encephalitis: a case report and literature review

Ashour,

Ibrahim,

Muhammed

2024

Egypt Liver Journal

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Background Hepatitis A is the most common cause of acute hepatitis around the globe, especially in developing countries. It often presents with signs and symptoms related to the gastrointestinal system. However, it rarely presents extrahepatic manifestations, which can be more common in adults than in children. Case presentation We report a unique case of hepatitis A presenting with encephalitis that was resolved conservatively. Before attributing the neurological features to hepatitis A, we had to rule out other etiologies with similar presentations. Clinical discussion Many viruses cause encephalitis, such as herpes simplex virus types 1 and 2, varicella zoster virus and enteroviruses. A few cases of hepatitis A complicated by encephalitis have been reported in the literature. In our case, developing a tonic-clonic seizure with no past seizure history demanded more investigations to exclude other etiologies. Ultimately, clinical signs and laboratory investigations led us to consider hepatitis A as the main cause of the patient’s symptoms of encephalitis. Conclusion Hepatitis A virus may present with extrahepatic manifestations more than expected, so more studies and research should be done to increase physicians’ knowledge of these manifestations, make early diagnosis, and administer the effective treatment.

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Invasive meningoencephalitis as the first manifestation of hepatitis A

Cited by 2 publications

References 13 publications

Recent advances in hepatitis A virus research and clinical practice guidelines for hepatitis A virus infection in Japan

Recent advances in hepatitis A virus research and clinical practice guidelines for hepatitis A virus infection in Japan

Acute hepatitis A complicated by encephalitis: a case report and literature review

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