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Amin MA, Nahin S, Bonna AS, Kabir Rozars MF, Hossain Hawlader MD. Leptospirosis and COVID-19 co-infection case in Bangladesh. Heliyon 2022; 8:e11828. [DOI: 10.1016/j.heliyon.2022.e11828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 10/09/2022] [Accepted: 11/16/2022] [Indexed: 11/25/2022] Open
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Kager J, Schneider J, Rasch S, Herhaus P, Verbeek M, Mogler C, Heim A, Frösner G, Hoffmann D, Schmid RM, Lahmer T. Fulminant Adenoviral-Induced Hepatitis in Immunosuppressed Patients. Viruses 2022; 14:v14071459. [PMID: 35891439 PMCID: PMC9323657 DOI: 10.3390/v14071459] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 06/22/2022] [Accepted: 06/27/2022] [Indexed: 01/16/2023] Open
Abstract
Human adenovirus (HAdV) can often lead to fulminant hepatitis in immunocompromised patients, mostly after reactivation of HAdV. Different risk factors, e.g., transplantation and chemotherapy, increase the risk of developing a HAdV hepatitis. We retrospectively analyzed three patients who showed the characteristics of a HAdV hepatitis observed in disseminated disease. In addition to PCR, diagnosis could be proven by pathology, CT scan, and markedly elevated transaminases. All patients had a hemato-oncologic underlying disease. Two had received a stem-cell transplant, and one was under chemotherapy including rituximab. Despite therapy with cidofovir, all patients died. As the incidence of HAdV hepatitis is low, diagnosis may be easily overlooked. No treatment approaches have yet been established. HAdV hepatitis should be considered as a differential diagnosis, especially when risk factors are present. To avoid dissemination, treatment should be initiated as soon as possible.
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Affiliation(s)
- Juliane Kager
- Department of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany; (J.K.); (J.S.); (S.R.); (R.M.S.)
| | - Jochen Schneider
- Department of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany; (J.K.); (J.S.); (S.R.); (R.M.S.)
| | - Sebastian Rasch
- Department of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany; (J.K.); (J.S.); (S.R.); (R.M.S.)
| | - Peter Herhaus
- Department of Internal Medicine III, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany; (P.H.); (M.V.)
| | - Mareike Verbeek
- Department of Internal Medicine III, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany; (P.H.); (M.V.)
| | - Carolin Mogler
- Institute of Pathology, School of Medicine, Technical University of Munich (TUM), 80333 Munich, Germany;
| | - Albert Heim
- German National Reference Laboratory for Adenoviruses, Institute for Virology, Hannover Medical School, 30625 Hannover, Germany;
| | - Gert Frösner
- Institute of Virology, School of Medicine, Technical University of Munich (TUM), 80333 Munich, Germany; (G.F.); (D.H.)
| | - Dieter Hoffmann
- Institute of Virology, School of Medicine, Technical University of Munich (TUM), 80333 Munich, Germany; (G.F.); (D.H.)
| | - Roland M. Schmid
- Department of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany; (J.K.); (J.S.); (S.R.); (R.M.S.)
| | - Tobias Lahmer
- Department of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany; (J.K.); (J.S.); (S.R.); (R.M.S.)
- Correspondence:
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Savchenko E, Kolokolnikov I, Velichko E, Osovskikh V, Kiseleva L, Musakulova Z. Design of Liver Functional Reserve Estimation Technique Based on Optical Densitometry. Diagnostics (Basel) 2020; 10:diagnostics10080599. [PMID: 32824396 PMCID: PMC7460397 DOI: 10.3390/diagnostics10080599] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 08/11/2020] [Accepted: 08/13/2020] [Indexed: 12/15/2022] Open
Abstract
This work is aimed at creating a modified invasive technique for assessing the liver's functional reserves. A study of the degree of hepatodepression is carried out by measuring the plasma elimination of indocyanine green using the method of optical densitometry. This paper presents test results for an aqueous solution and an albumin solution, as well as the results of measurements of plasma elimination of indocyanine green for patients with liver disease. Perfecting the proposed method will make an important scientific contribution to modern diagnostic medicine. Diagnosing the stages in the progression of the disease and its developing complications can make it possible to rapidly correct the patient's treatment algorithm, achieving positive outcomes in medical practice.
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Affiliation(s)
- Ekaterina Savchenko
- Institute of Physics, Nanotechnology and Telecommunications, Peter the Great St. Petersburg Polytechnic University, 195251 St. Petersburg, Russia; (I.K.); (E.V.)
- Correspondence: ; Tel.: +7-999-245-77-86
| | - Ilya Kolokolnikov
- Institute of Physics, Nanotechnology and Telecommunications, Peter the Great St. Petersburg Polytechnic University, 195251 St. Petersburg, Russia; (I.K.); (E.V.)
| | - Elena Velichko
- Institute of Physics, Nanotechnology and Telecommunications, Peter the Great St. Petersburg Polytechnic University, 195251 St. Petersburg, Russia; (I.K.); (E.V.)
| | - Victor Osovskikh
- Department of Anesthesiology and Resuscitation Russian Research Center for Radiology and Surgical Technologies, 197758 St. Petersburg, Russia; (V.O.); (L.K.)
| | - Lyubov Kiseleva
- Department of Anesthesiology and Resuscitation Russian Research Center for Radiology and Surgical Technologies, 197758 St. Petersburg, Russia; (V.O.); (L.K.)
| | - Zhyldyz Musakulova
- Computer Information Systems, International University of Kyrgyzstan, Bishkek 720007, Kyrgyzstan;
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Abstract
Weil’s disease is a complication of untreated leptospirosis and can be fatal. Awareness of leptospirosis and its hepatic manifestations are limited. We report the case of a 50-year-old man with gastrointestinal symptoms and a cholestatic pattern of liver injury diagnosed with Weil’s disease. The patient showed remarkable improvement after treatment with appropriate antibiotics with normalization of liver function in one month. This case highlights the importance of recognizing leptospirosis and its myriad presentations.
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Affiliation(s)
- Jinendra Satiya
- Internal Medicine, Metropolitan Hospital, New York City, USA
| | - Niyati M Gupta
- Internal Medicine, Metropolitan Hospital, New York City, USA
| | - Malav P Parikh
- Gastroenterology and Hepatology, State University of New York Downstate Medical Center, Brooklyn, USA
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