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Case Report on Hepatitis-A | 86942

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Case Report on Hepatitis-A

Author(s): Achita Sawarkar*, Vishnu Tadas, Madhuri Naik, Jaya Khandar and Prerna Sakharwade

Abstract

Introduction: Hepatitis is the inflammation of the liver which occurs from a variety of causes i.e. infectious and non- infectious, hepatitis A is caused due to picornavirus usually transmitted by the feco-oral route. It is a highly contagious liver infection that affects the individual’s liver ability to function. Clinical findings: Mild grade, intermittent fever with chills, yellowish discolouration of skin, Clay coloured stools, Vomiting, Reduced Oral intake. Diagnostic evaluation: CBC: TLC- 17500/cu.mm, Hb- 8.5gm% , RBC- 3.74 millions /cu.mm LFT: Total Bilirubin- 8.1mg/dl, Bilirubin Conjugated- 6.7 mg/dl, Bilirubin Unconjugated- 1.4 mg/dl, SGOT-248 IU/L, SGPT-419 IU/L, Alkaline phosphatase 316 IU/L, Total protein – 9.3gram/dl; Ultrasonography: Hepatospleenomegaly with thickened edematous gallbladder wall. Anti HAV: 0.30 positive. Therapeutic intervention: Medical Management: Inj. Cefotaxime 650mg BD IV, Inj. Ciprofloxacin 130mg TDS IV, Tab. Udiliv 150mg BD Orally, Inj. Piptaz 1.3gram in 300 ml NS IV, syp. Meftal- p 6ml SOS Orally, Syp. Becasul 5ml BD orally, Syp. Duphalac 10 ml HS. Outcomes: The medication has started for hepatitis A . The fever was reduced, Yellowish discolouration of skin was diminished, the oral intake was increased and the level of Bilirubin was Normal. The child showed improvement. Conclusion: The patient was admitted to paediatric ward, AVBRH with known case of hepatitis A and he had a complaint of mild grade, intermittent fever with chills, yellowish discolouration of skin, clay coloured stools, vomiting, reduced oral intake. After getting proper treatment his condition was improved.

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