Abstract | BACKGROUND: CASE SUMMARY: A 53-year-old male farmer was diagnosed with liver cirrhosis and splenomegaly in August 2016, accompanied with negative HEV- IgM and positive HEV- IgG. No evidence of hepatitis B virus or hepatitis C virus infection was found. Since then the patient was evaluated for liver function and viral parameters every 3 mo. In June 2017, the patient presented severe fatigue with whole body itching and was diagnosed with HCC. Afterwards this patient experienced quick HCC development, progression, relapse, and metastasis in the following 8 mo, and presented persistent dual positivity of HEV- IgM and HEV- IgG. This patient had a long history of smoking and alcohol consumption. CONCLUSION: This unique case invokes the importance of HEV surveillance and treatment among cirrhotic patients, HCC cases, and blood donors.
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Authors | Xiao-Na Lin, Qiu-Xiong Lin, Shu-Mei Li, Ke-Ping Xie, Jun Hou, Ren Chen |
Journal | World journal of hepatology
(World J Hepatol)
Vol. 12
Issue 12
Pg. 1358-1366
(Dec 27 2020)
ISSN: 1948-5182 [Print] United States |
PMID | 33442461
(Publication Type: Case Reports)
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Copyright | ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. |