An outbreak of hepatitis E and high maternal mortality at Port Sudan, Eastern Sudan

被引:61
作者
Rayis, Duria A. [1 ]
Jumaa, Ammar M. [2 ]
Gasim, Gasim I. [2 ]
Karsany, Mubark S. [3 ]
Adam, Ishag [1 ]
机构
[1] Univ Khartoum, Fac Med, Khartoum, Sudan
[2] Red Sea Univ, Fac Med, Port Sudan, Sudan
[3] Karary Univ, Coll Med Lab Sci, Khartoum, Sudan
关键词
Pregnancy; Viral hepatitis; Hepatitis E virus; Sudan; E VIRUS-INFECTION; PREGNANT-WOMEN; PERINATAL OUTCOMES; VIRAL-HEPATITIS; TRANSMISSION; SEROPREVALENCE; EPIDEMIOLOGY; PREVALENCE; KASSALA; AFRICA;
D O I
10.1179/2047773213Y.0000000076
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
During 4 months (November 2010-March 2011) of an outbreak of hepatitis E virus (HEV), 39 pregnant women presented at Port Sudan Hospital, Sudan, with various symptoms of viral hepatitis. The diagnosis of viral hepatitis was confirmed by serology using ELISA anti-HEV IgG and IgM. The mean (SD) maternal age and gestational age were 24.0 (4.2) years and 33.6 (3.7) weeks, respectively. Eight (20.5%) women were primigravidae. There were 11 (28.2%) maternal deaths, 14 (36.0%) intrauterine fetal deaths, and eight (20.5%) cases of postpartum haemorrhage. There were nine (23.0%) cases of preterm (<37 weeks of gestation) deliveries. Fulminant hepatitis with hepatic encephalopathy was the most common cause of death among these patients. Nine of these women died before delivery and the other two died immediately following the delivery due to severe haemorrhage. There were no significant differences in clinical and biochemical data between the women who died (11) and those who survived.
引用
收藏
页码:66 / 68
页数:3
相关论文
共 33 条
[1]   Epidemiology of dengue infections in Kassala, Eastern Sudan [J].
Abdallah, Tajeldin M. ;
Ali, Abdel Aziem A. ;
Karsany, Mubarak S. ;
Adam, Ishag .
JOURNAL OF MEDICAL VIROLOGY, 2012, 84 (03) :500-503
[2]   Maternal and perinatal outcomes of dengue in PortSudan, Eastern Sudan [J].
Adam, Ishag ;
Jumaa, Ammar M. ;
Elbashir, Hagir M. ;
Karsany, Mubarak S. .
VIROLOGY JOURNAL, 2010, 7
[3]   Hepatitis E virus infection is highly prevalent among pregnant women in Accra, Ghana [J].
Adjei, Andrew A. ;
Tettey, Yao ;
Aviyase, John T. ;
Adu-Gyamfi, Clement ;
Obed, Samuel ;
Mingle, Julius A. A. ;
Ayeh-Kumi, Patrick F. ;
Adiku, Theophilus K. .
VIROLOGY JOURNAL, 2009, 6
[4]   Epidemiology of hepatitis E: Current status [J].
Aggarwal, Rakesh ;
Naik, Sita .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2009, 24 (09) :1484-1493
[5]   Brief report: Acute viral hepatitis and poor maternal and perinatal outcomes in pregnant Sudanese women [J].
Ahmed, Rihab E. ;
Karsany, Mubarak S. ;
Adam, Ishag .
JOURNAL OF MEDICAL VIROLOGY, 2008, 80 (10) :1747-1748
[6]   Seroprevalence of hepatitis E virus in an adult urban population from Burundi [J].
Aubry, P ;
Niel, L ;
Niyongabo, T ;
Kerguelen, S ;
Larouze, B .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1997, 57 (03) :272-273
[7]   High mortality associated with an outbreak of hepatitis E among displaced persons in Darfur, Sudan [J].
Boccia, Delia ;
Guthmann, Jean-Paul ;
Klovstad, Hilde ;
Hamid, Nuha ;
Tatay, Mercedes ;
Ciglenecki, Iza ;
Nizou, Jacques-Yves ;
Nicand, Elisabeth ;
Guerin, Philippe Jean .
CLINICAL INFECTIOUS DISEASES, 2006, 42 (12) :1679-1684
[8]   Hepatitis E virus is highly prevalent among pregnant women in Gabon, central Africa, with different patterns between rural and urban areas [J].
Caron, Melanie ;
Kazanji, Mirdad .
VIROLOGY JOURNAL, 2008, 5 (1)
[9]   Outbreak of enterically-transmitted hepatitis due to hepatitis A and hepatitis E viruses [J].
Coursaget, P ;
Buisson, Y ;
Enogat, N ;
Bercion, R ;
Baudet, JM ;
Delmaire, P ;
Prigent, D ;
Desramé, J .
JOURNAL OF HEPATOLOGY, 1998, 28 (05) :745-750
[10]   Hepatitis B virus and hepatitis C virus in pregnant Sudanese women [J].
Elsheikh, Rasha M. ;
Daak, Ahmed A. ;
Elsheikh, Mohamed A. ;
Karsany, Mubarak S. ;
Adam, Ishag .
VIROLOGY JOURNAL, 2007, 4 (1)