Acute hepatitis with non-alcoholic fatty liver disease-expanding clinical spectrum in COVID-19 exposed children: case report and review of literature.

Sandeep Jhajra, Akshada Sharma, Kumar Diwakar, Bhupendra Kumar Gupta, Sanjay Kumar Tanti
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Abstract

Coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can adversely affect extra-pulmonary organs, such as the liver, heart and gastrointestinal tract apart from lungs. Although studies are showing that serum glutamic-oxaloacetic transaminase and serum glutamic-pyruvic transaminase are mildly elevated along with serum bilirubin in adult patients with mild to severe cases of COVID-19 disease, data are limited regarding liver injury in children infected with COVID virus. We report the case of a 9-year-old female patient who developed signs and symptoms of upper respiratory tract infection due to COVID-19 virus infection and subsequently developed fatty liver disease on follow-up. To our knowledge, this is the second case report in children showing an association between non-alcoholic fatty liver disease and SARS-CoV-2 virus infection.

急性肝炎合并非酒精性脂肪肝- COVID-19暴露儿童临床谱扩大:病例报告及文献复习
由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的冠状病毒病(COVID-19),除肺外,还会对肝、心脏和胃肠道等肺外器官产生不利影响。虽然有研究表明,成人轻至重度COVID-19患者血清谷草转氨酶和血清谷丙转氨酶随血清胆红素轻度升高,但关于儿童感染COVID-19病毒的肝损伤数据有限。我们报告了一例9岁女性患者,她因COVID-19病毒感染而出现上呼吸道感染的体征和症状,随后在随访中发展为脂肪肝。据我们所知,这是第二例显示非酒精性脂肪肝与SARS-CoV-2病毒感染之间存在关联的儿童病例报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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