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Articolul urmator |
565 13 |
Ultima descărcare din IBN: 2022-07-29 13:06 |
Căutarea după subiecte similare conform CZU |
[616.36-002.12:578.891]-07/08 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732) |
Virologie (442) |
SM ISO690:2012 PALII, Ina, GUDUMAC, Eva, REVENCO, Ninel, RABA, Tatiana, CIUNTU, Angela, PÎRŢU, Lucia, RODOMAN, Iulia, CHIRIAC, Adrian, CUCU, Ilona, BUJOR, Dina. Afectarea cardiacă și renală în hepatita virală b ocultă, forma seropozitivă. confuzie diagnostică. Prezentare de caz și revista literaturii. In: Buletin de Perinatologie, 2020, nr. 2(87), pp. 128-134. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 2(87) / 2020 / ISSN 1810-5289 | ||||||
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CZU: [616.36-002.12:578.891]-07/08 | ||||||
Pag. 128-134 | ||||||
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Rezumat | ||||||
Hepatitis B virus infection is a major public health problem worldwide, affecting about 400 million people around the world [1,7,9,18]. About 20% of patients with HBV infection have a wide range of extrahepatic damages that include systemic, renal, cardiovascular, cutaneous, cerebral, hematological, immunological abnormalities, etc [2,9,12,13,14,19,20]. The authors review data from the literature and present the clinical case of a 1-year-old patient diagnosed with renoparenchymal malignant hypertension possibly induced by reactivated occult viral hepatitis B, with high viremia and extrahepatic impairment (cardiovascular, renal and brain). The patient is hospitalized with clinical manifestations of toxic and infectious syndrome, intestinal transit disorders, abdominal colic, blood pressure values up to 200/120 mmHg, nephritic syndrome, iron defi ciency anemia gr. II. The selective aortography excluded the renovascular cause of hypertension. MRI reveals suspicious imaging signs for infl ammatory changes in the bilateral renal parenchyma, more pronounced on the right and diffuse abdominal lymphadenopathy. The laboratory examination shows marked hepatocytolysis syndrome and high viremia expressed by quantitative HBV DNA with extremely high values. In evolution, against the background of antihypertensive, nephro- and hepatoprotective treatment, the BP values and renal function are normalized, the hepatocytolysis syndrome and HBV viremia persist. The multidisciplinary approach allowed the identifi cation of the possible cause of hypertension and inflammatory changes in the bilateral renal parenchyma, permise for starting antiviral therapy. |
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Cuvinte-cheie nephritic syndrome, hypertension, viral hepatitis B, sindrom nefritic, hipertensiune arterială, hepatita virală B |
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