COVID-19 as a Trigger of Acute-on-Chronic Hepatitis B Presenting With Undetectable INR Due to Hypercoagulability in a 16-Year-Old Girl.
Pediatr Infect Dis J
; 42(2): 143-145, 2023 02 01.
Article
em En
| MEDLINE
| ID: mdl-36638401
ABSTRACT
In patients with SarS-CoV2 and chronic Hepatitis B (HBV) co-infection liver injury is associated with a worse prognosis. We report a case of acute chronic liver failure (ACLF) with encephalopathy due to HBV reactivation during COVID-19 with undetectable INR. Thromboelastography showed a profile consistent with a prothrombotic state so INR was not a reliable marker of liver function until plasma infusion. After plasma infusion, indeed, an imbalance of hepatic function was shown by an underlying INR prolongation that was consistent with an ACLF.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hepatite B Crônica
/
Trombofilia
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Insuficiência Hepática Crônica Agudizada
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COVID-19
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Hepatite B
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article