A case of acute hepatitis B occurred secondary to amebic colitis

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  • Satta Yusuke
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Hiraishi Tetsuya
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Okuse Chiaki
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Suzuki Tatsuya
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Morita Nozomi
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Suetani Keigo
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Nakano Hiroyasu
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Ishigooka Shinya
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Ishii Toshiya
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital
  • Takahashi Hideaki
    Division of Gastroenterology, Department of Internal Medicine, St. Marianna University School of Medicine, Yokohama City Seibu Hospital
  • Ikeda Hiroki
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine
  • Watanabe Tsunamasa
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine
  • Matsunaga Kotaro
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine
  • Matsumoto Nobuyuki
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine
  • Yotsuyanagi Hiroshi
    Division of Infectious Diseases, Advanced Clinical Research Center, The Institute of Medical Science, The University of Tokyo
  • Itoh Fumio
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine
  • Suzuki Michihiro
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kawasaki Municipal Tama Hospital

Bibliographic Information

Other Title
  • アメーバ性大腸炎に続発したB型急性肝炎の1例
  • 症例報告 アメーバ性大腸炎に続発したB型急性肝炎の1例
  • ショウレイ ホウコク アメーバセイ ダイチョウエン ニ ゾクハツ シタ Bガタ キュウセイ カンエン ノ 1レイ

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Abstract

<p>A case was 44-year-old male who had been having sex with males. He visited our hospital for complaints of fever and mucous and bloody stool, and was found to be suffering from amebic colitis. At that time, his serum hepato-biliary enzymes indicated normal levels and he was negative for serum hepatitis B surface antigen (HBsAg). Although amebic colitis was resolved with administration of metronidazole, general fatigue associated with elevated levels of serum hepato-biliary enzymes and positive conversion of HBsAg was emerged. He was diagnosed as having acute hepatitis B (AHB), because elevated level of immunoglobulin M-hepatitis B core antibody was detected. The genotype of HBV was genotype A. Thereafter, serum hepato-biliary enzymes decreased gradually, and normalized with HBsAg/anti-HBs seroconversion. It is suggested that careful observation and examination, taking incubation period into consideration, are important in clinical practice of sexually transmitted diseases.</p>

Journal

  • Kanzo

    Kanzo 58 (11), 626-631, 2017

    The Japan Society of Hepatology

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