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Epstein-Barr virus hepatitis can cause transient hepatopulmonary syndrome.


ABSTRACT:

Introduction

Hepatopulmonary syndrome is commonly seen in the patients with chronic liver disease. Acute liver diseases are rarely associated with HPS. We have reported here a case of Transient HPS caused by Epstein-Barr virus hepatitis.

Case report

The patient was a 31 years old man that came to hospital due to RUQ pain and yellowish skin. In examination the patient was tachypnic and O2 saturation was 71% with prominent JVP. ver enzyme and bilirubin were high. All viral hepatitis was negative except anti viral capsid antigen-antibody of EBV. In Blood gas PaO2 was 54?mmHg, O2 saturation 73% and alveolar-arterial gradient was 18?mmHg. Stress Echocardiography with saline injection reported pulmonary arterial pressure 32 cmHg with delayed opacification of left atrium.

Conclusion

transient HPS can be manifestation in the acute hepatitis caused by EBV infection.

SUBMITTER: Ghayumi SMA 

PROVIDER: S-EPMC6010599 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Epstein-Barr virus hepatitis can cause transient hepatopulmonary syndrome.

Ghayumi Seiyed Mohammad Ali SMA   Rohani Maryam M   Hasanzadeh Sajad S   Sadeghi Shahrokh S   Roozbehi Amrollah A   Jokar Saeid S  

Respiratory medicine case reports 20180403


<h4>Introduction</h4>Hepatopulmonary syndrome is commonly seen in the patients with chronic liver disease. Acute liver diseases are rarely associated with HPS. We have reported here a case of Transient HPS caused by Epstein-Barr virus hepatitis.<h4>Case report</h4>The patient was a 31 years old man that came to hospital due to RUQ pain and yellowish skin. In examination the patient was tachypnic and O2 saturation was 71% with prominent JVP. ver enzyme and bilirubin were high. All viral hepatitis  ...[more]

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