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Evidence for the presence of autochthonous (locally acquired) cases of acute hepatitis E virus infections in Italy since the 80s.

AbstractBACKGROUND:
Autochthonous (locally acquired) cases of acute hepatitis E virus have been recently reported in several developed countries.
AIM:
To evidence cases, if any, and characteristics of acute hepatitis E virus infections in North-East of Italy several years ago.
METHODS:
In 2014, stored sera of 165 nonA-nonB acute hepatitis referred to the hospital of Padua during the period 1978-1991 were tested for hepatitis C virus antibodies by EIA III and for anti-hepatitis E virus IgM by Wantai HEV IgM ELISA. Anti-hepatitis E virus IgM positive sera were tested by Real Star HEV RT-PCR kit (Altona Diagnostics, Hamburg, Germany).
RESULTS:
Ninety-six (58.1%) sera resulted anti-HCV positive, and thus classified as acute C hepatitis. None of these subjects was anti-HEV IgM positive. Out of the 69 anti-HCV negative cases, 4 (5.8%) resulted anti-HEV IgM positive (one case hepatitis E virus-RNA positive), with an increasing trend from 2.8% during the years 1978-1984 to 9.1% during the years 1985-1991. All cases occurred in Italian patients with no travel abroad history.
CONCLUSIONS:
There is evidence for the presence of autochthonous cases of acute hepatitis E virus infections in Italy since 80s.
AuthorsTommaso Stroffolini, Maria Rapicetta, Paola Chionne, Rozenn Esvan, Elisabetta Madonna, Flavia Lombardo, Fabrizio Toccaceli, Giulio Pisani, Annarita Ciccaglione, Flavia Bortolotti
JournalEuropean journal of internal medicine (Eur J Intern Med) Vol. 26 Issue 5 Pg. 348-50 (Jun 2015) ISSN: 1879-0828 [Electronic] Netherlands
PMID25887055 (Publication Type: Journal Article)
CopyrightCopyright © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
Topics
  • Acute Disease
  • Adolescent
  • Adult
  • Algorithms
  • Cohort Studies
  • Female
  • Hepatitis E (diagnosis, epidemiology, virology)
  • Hepatitis E virus (isolation & purification)
  • Humans
  • Italy (epidemiology)
  • Male
  • Middle Aged
  • Socioeconomic Factors
  • Time Factors
  • Young Adult

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