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18-Jul-2000
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Arch Hellen Med, 16(4), July-August 1999, 391-393
SHORT COMMUNICATION
Unusual hepatic damage from Coxsackie-B4 virus
M. SKOUNAKIS, J. KETIKOGLOU, G.
KAFIRI, M. SAMOILI,
J. ELEFSINIOTIS, A. PAPAGEORGIOU, G. KARVOUNTZIS
State Department
of Medicine, Hippokration General Hospital, Athens, Greece
Coxsackie viruses A and B, which belong
to the family of enteroviruses, cause a wide variety of symptoms. Hepatic damage
from these viruses is a rare phenomenon and occurs predominantly in neonates
as a fulminant hepatitis. The case is described of an adult patient who presented
with a maculopapular rash, fever and jaundice. Histological examination of the
liver biopsy revealed hepatitis and serological study revealed a Coxsackie-B4
virus infection. Such liver damage in adults from this type of virus has not
been referred to in the literature. The disease was self limiting and the patient
became healthy after a period of 15 days.
Key words: Coxsackie, Hepatitis.