关于甲型肝炎的病毒学、病因学、流行和相关危险因素的综述。

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摘要

甲型肝炎是一种由甲型肝病毒(HAV)引起的肝脏感染性疾病。这是一种病毒性肝炎。它有带有单链正极性RNA的裸核衣壳病毒。它缺乏病毒粒子聚合酶,具有单一血清型。通过粪-口途径传播。与乙型肝炎病毒和丙型肝炎病毒相比,甲肝病毒的血液传播并不常见,因为病毒血症是短期的,而且滴度低。大多数情况下,很少或没有迹象,特别是在年轻人中。病毒在胃肠道中复制,然后在短期病毒血症期间扩散到肝脏。甲肝病毒对肝细胞没有细胞病变。肝细胞损伤是由细胞毒性T细胞的免疫攻击引发的。患者出现感染和体征的时间在两到六周之间。当症状出现时,通常持续8周,可能包括恶心、呕吐、腹泻、黄疸、腹部疼痛和发烧。大约10%至15%的患者在初步感染后的6个月内的某个阶段会出现症状复发。急性肝功能衰竭也很少发生,在老年人中更为常见。没有抗病毒药物可用。诊断急性感染最合适的检测是IgM抗体。没有从临床样本中分离病毒。疫苗由灭活的病毒组成。在潜伏期注射免疫球蛋白可减轻病情。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A review regarding virology, etiology, prevalence and associated risk factors of Hepatitis A.
Hepatitis A is an infectious disorder of the liver prompted by Hepatovirus A virus (HAV). It is a kind of viral hepatitis. It has naked nucleocapsid virus with a single stranded, positive polarity RNA. It is devoid of virion polymerase and has a single serotype. Transmission is via fecal–oral route. In contrast to Hepatitis B virus and Hepatitis C virus, blood borne transmission of HAV is infrequent because viremia is short-term and of low titer. Mostly instances, have few or no signs, specifically in younger ones. The virus replicates in the gastrointestinal tract and then spreads to the liver during a short-term viremic period. HAV is not cytopathic for the hepatocyte. Hepatocellular injury is triggered by immune attack by the cytotoxic T cells. The time among the infection and signs, in patients that progress them, is among two and six weeks. When the signs occur, they commonly last 8 weeks and might encompass nausea, vomiting, diarrhea, jaundice, pain in abdomen and fever. Around 10 to 15 percent of patients undergo a recurrence of signs at some stage in the six months after the preliminary infection. Acute liver failure may also seldom occur, with this being extra regular in elderly. No antiviral medication is available. The most suitable test to diagnose acute infection is IgM antibody. Isolation of the virus from clinical samples is not done. Vaccine consists of killed virus. Administration of immune globulin in the course of the incubation can alleviate the disease.
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