دورية أكاديمية
أعرض في EDS

Intrauterine Transmission of Hepatitis C Virus Concomitant with Isolated Severe Fetal Ascites.

التفاصيل البيبلوغرافية
العنوان: Intrauterine Transmission of Hepatitis C Virus Concomitant with Isolated Severe Fetal Ascites.
المؤلفون: Rădoi CL; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Berbecaru EI; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.; Department of Obstetrics and Gynecology, Emergency Clinical County Hospital, 200642 Craiova, Romania., Istrate-Ofițeru AM; Department of Obstetrics and Gynecology, Emergency Clinical County Hospital, 200642 Craiova, Romania.; Department of Histology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.; Research Centre for Microscopic Morphology and Immunology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Nagy RD; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.; Department of Obstetrics and Gynecology, Emergency Clinical County Hospital, 200642 Craiova, Romania., Drăgușin RC; Department of Obstetrics and Gynecology, Emergency Clinical County Hospital, 200642 Craiova, Romania.; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Căpitănescu RG; Department of Obstetrics and Gynecology, Emergency Clinical County Hospital, 200642 Craiova, Romania.; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Zorilă MV; Department of Forensic Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Zorilă LG; Department of Obstetrics and Gynecology, Emergency Clinical County Hospital, 200642 Craiova, Romania.; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Iliescu DG; Department of Obstetrics and Gynecology, Emergency Clinical County Hospital, 200642 Craiova, Romania.; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
المصدر: Pathogens (Basel, Switzerland) [Pathogens] 2022 Nov 12; Vol. 11 (11). Date of Electronic Publication: 2022 Nov 12.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101596317 Publication Model: Electronic Cited Medium: Print ISSN: 2076-0817 (Print) Linking ISSN: 20760817 NLM ISO Abbreviation: Pathogens Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, 2012-
مستخلص: Background: Perinatal Hepatitis C Virus (HCV) transmission occurs in 4-7% of the cases with detectable viremia at delivery. HCV testing in pregnancy is recommended. The fetal infection was previously described as asymptomatic although there are two cases, including this one, to report the presence of isolated fetal ascites in HCV infected fetuses.
Case Report: A 42-year-old patient, 3G, 3P, presented in the Emergency Room for painful uterine contraction. The third-trimester ultrasound examination noted severe fetal ascites, accompanied by hyperechoic bowels and polyhydramnios. The diagnosis required a detailed ultrasound exam, invasive testing (amniocentesis, cordocentesis, and fetal paracentesis), and a complete workup. The mother tested positive for HCV antibodies, and the fetal cord blood tested positive for HCV RNA. The ascites resolved after paracentesis, and the gastrointestinal and respiratory functions markedly improved. The fetus was delivered at term in good condition.
Conclusions: The etiology of isolated fetal ascites is broad. This case may indicate that intrauterine HCV transmission is a potential cause of isolated fetal ascites in the absence of other explanation, and isolated fetal ascites can be the only sign revealed on a routine examination. We suspected, having no other detected cause for ascites, the intrauterine transmission of HCV. Invasive procedures, such as paracentesis, are required for abdominal decompression to manage isolated fetal ascites, as it may be a saving procedure. A genetic investigation is needed, and a good neonatal outcome is expected in the absence of fetal structural or genetic abnormalities, as in our case.
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فهرسة مساهمة: Keywords: amniocentesis; congenital hepatitis; cordocentesis; fetal ascites; fetal infections; fetal paracentesis; prenatal diagnosis; ultrasound
تواريخ الأحداث: Date Created: 20221124 Latest Revision: 20221129
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9697820
DOI: 10.3390/pathogens11111335
PMID: 36422587
قاعدة البيانات: MEDLINE
الوصف
تدمد:2076-0817
DOI:10.3390/pathogens11111335