Accepted at 12:38 a.m. Nov, 01, 2023 by dollajas
Author: jprasadh
Related Note: 1568216055845
Rationale for change

Fulminant liver failure from viral hepatitis is also associated with A and E. Sources: Uptodate: https://www.uptodate.com/contents/acute-liver-failure-in-adults-etiology-clinical-manifestations-and-diagnosis#H5

UW QID 48: An outbreak of hepatitis in New Delhi was characterized by high incidence of fulminant hepatitis in pregnant women, who experienced a mortality rate of 20%. The virus responsible for the outbreak:

Explanation Learning Objective: Hepatitis E virus is an unenveloped, single-stranded RNA virus spread through the fecal-oral route. The most concerning feature of hepatitis E infection is the high mortality rate observed in infected pregnant women.

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Watch Acute Liver Disease DDx
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Hepatitis E causes fulminant hepatitis in Pregnant women with a high mortality rate. Liver biopsy will show patchy necrosis.
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Watch associated Bootcamp video - Positive-sense RNA Viruses : Hepatitis E
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#AK_Step2_v12::#OME::03_Gastrointestinal::18_Viral_Hepatitis #AK_Step1_v12::#UWorld::48 #AK_Step2_v12::#OME::01_Medicine::03_Gastroenterology::18_Viral_Hepatitis
#AK_Step1_v12::#AMBOSS #AK_Step1_v12::#OME::Clinical::Internal_Medicine::Hepatobiliary::Viral_Hepatitis #PANCE::EOR::Surgery #AK_Step1_v12::#Pixorize::04_Microbiology::08_Viruses-RNA_Viruses::10_Hepevirus_(Hepatitis_E_Virus) #AK_Step2_v12::#AMBOSS::x30Ekf #PANCE::GI::hepatic_disorders #AK_Step1_v12::#Bootcamp::Microbiology::28_Positive-sense_RNA_Viruses::06_Hepatitis_E #AK_Step2_v12::#COMBANK::50648 #AK_Step2_v12::#Subjects::Microbiology::02_Viruses::Hepatitis_Viruses::Hepatitis_B_Virus #AK_Step1_v12::#B&B::13_Infectious_Disease::06_Viruses::05_Viral_Hepatitis #AK_Step2_v12::!Shelf::IM::no_dupes #AK_Step1_v12::#UWorld::Step::48 #AK_Step2_v12::!Shelf::IM::no_dupes::only_step2 #AK_Step1_v12::#Physeo::06_Micro::05_Viruses::36_Hepatitis_E_Virus #AK_Step2_v12::#Subjects::Microbiology::02_Viruses::Hepatitis_Viruses::Hepatitis_B_Virus::Pathophysiology #AK_Step2_v12::Original_decks::Dorian::im::ome::infection::hepatitis #PANCE::EOR::Family_med #AK_Step2_v12::!Shelf::#Cards_AnKing_Skipped #AK_Step1_v12::#Physeo::06_Micro::05_Viruses::07_Hepatitis_B_Virus !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Internal-Medicine::1-OME #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::02_Liver_Disease::01_Acute_Liver_Disease_DDx #AK_Step2_v12::#B&B::06_GI::02_Liver::04_Viral_Hepatitis::Extra #PANCE::EOR::IM #AK_Step1_v12::#UWorld::COMLEX::23162 #AK_Step1_v12::#AMBOSS::CTaqGP #AK_Step2_v12::#Resources_by_rotation::IM::ome::gi::viral_hepatitis #AK_Step1_v12::#Physeo::^physeo_image_update #AK_Step2_v12::#Resources_by_rotation::IM::ome::infection::hepatitis #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3)