Important expert warnings for “mysterious hepatitis” in children

Both the European Center for Disease Prevention and Control (ECDC) and the World Health Organization (WHO) have reported a sudden increase in hepatitis ‘including jaundice’, especially in children under 6 years of age. Warns of some signs in England and Europe and finally in Israel. In fact, it was announced that 8 children had liver transplants in England due to “mysterious hepatitis”. Association of Pediatric Gastroenterology, Hepatology and Nutrition Specialists. Dr. Esra Polat noted that they have not yet received any such reports in Turkey, but in the case of jaundice whose cause is unknown, Kovid-19 should also be questioned.

Cases of “mysterious hepatitis” in children, first from England, then from Denmark, Ireland, the Netherlands and Spain, and finally from the US and Israel, have raised concerns about a new global epidemic, while the European Center for Disease Prevention and Control (ECDC) and The World Health Organization (WHO) has issued one statement after another. Eight children in England had to have a liver transplant “due to unexplained acute hepatitis”. The exact cause of hepatitis in children admitted to hospital with jaundice, diarrhea, vomiting and abdominal pain has not yet been determined, but research is ongoing to determine if it could occur, the agency said in a statement. Effects of previous Covid-19 infections. The ECDC statement, which drew attention to high liver enzyme values ​​in children with acute hepatitis, stated that no association was found with the Covid-19 vaccine and that hepatitis A, B, C, D and E type virus agents were not found in all cases. However, it was announced that 3 out of 13 cases reported from Scotland were positive for Covid-19 and two of them had Covid-19 infection in the last 3 months. In 5 cases, attention was drawn to adenovirus positivity, which causes seasonal epidemics.

“Kovid history should also be investigated in January signs”

Hepatitis can be caused by the virus, said the University of Health Sciences. Dr. Ilhan Varangka Training and Research Hospital Pediatric Gastroenterology, Hepatology and Nutrition Specialists Association. Dr. Esra Polat said the history of covid should also be investigated in pediatric patients with diarrhea, vomiting, jaundice and elevated liver enzymes. Assoc. Dr. To be able to treat both Covid himself and other viral infections, which are very common in children during these months, without causing permanent liver damage, families should be aware of the symptoms and consult a doctor, especially if they have jaundice, Polat said. . See Assoc. Dr. “There has been an increase in cases of hepatitis, the causes of which have not been determined recently, especially jaundice. In fact, there are many factors that can cause inflammation of the liver. Viral infections are one of them,” he said.

“Virus infections can lead to liver transplants”

Assoc. Dr. Polat says that in viral infections, in addition to the hepatitis virus, that is, viruses that have a specific effect on the liver, many viruses can also infect the liver and cause a process that can lead from advanced liver infection (common hepatitis) to advanced hepatitis. , Even causing organ failure and leading to liver transplantation. Referring to it, he said: “One of the reasons is Kovid-19 infection. We have learned a lot since the coronavirus came into our lives. We have seen that it is involved in the liver, especially in the case of coronavirus. Until September 2020, we have a We have seen a different disease that develops after the coronavirus is MIS. -C infection, meaning multi-inflammatory syndrome. MIS-C is seen in children. Was and was treated for a long time in the intensive care unit. We pushed for the identification of standard defects. However, in infection control, we have seen that the liver quality of these patients has also improved. “

Liver complaints without symptoms have been identified

Note that since 2021, there have been cases of Kovid-19 in the literature that show no signs of shortness of breath and occur only in the form of hepatitis, Assoc. Dr. “There are very few, limited case studies. The last one was done in 4 cases. The patients had no symptoms of shortness of breath at all. Their clinics only showed up with improved liver enzymes. It didn’t take long for that to happen. To recover in their follow-up, But maybe this is just the beginning. We don’t know. Because all in all, we’ve known and learned about this virus for over two years now. There are no symptoms of shortness of breath, but some symptoms of gastrointestinal tract, including jaundice, liver disease.

“If you have black eyes, diarrhea, and vomiting, you should consult a doctor.”

As well as warning families, the association said. Dr. “We urge families in particular to be vigilant about infections. They should pay attention to the color of their children, not just a common cold, sore throat, cough, abdominal pain, diarrhea and vomiting associated with gastroenteritis (gastrointestinal infections),” Polat said. This type of infection can start with yellow eyes. They must consult a doctor because early diagnosis is always important for us. If they are not tested, they often do not realize it. They may not even be aware that they have an infection. When we evaluate patients (who come in) with liver symptoms), we must ask about the recent family history of covid because of recent covid infection. Unexplained liver enzyme elevation and unexplained jaundice may be the cause. “

Kovid should be added to the list of suspicious as well as other viruses

Note that hepatitis has many causes, in addition to viral infections it can also be caused by bacterial infections, but in most cases the hepatitis A, B, C, D and E viruses affect the liver, Assoc. Dr. In addition to these, some seasonal viruses can also cause hepatitis, Polat said. Assoc. Dr. Polat concludes his speech with the following information: “We can list many causes, especially viral and bacterial agents. However, we see viral infections more frequently. We are more likely to develop hepatitis in childhood, because hepatitis A causes it.” With an acute (sudden) infection, it can come out with a very noisy picture and cause very severe liver enzyme levels and very severe jaundice. We may be exposed to viral agents such as upper respiratory tract infections such as cytomegalovirus. CMV), may be adenovirus (CMV). ADV), Epstein-Barr virus (EBV), but boosts liver enzymes and enlarges the liver and spleen. history) and perform the necessary tests on the patient. “

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Demirören News Agency / Current

World Health Organization, England, Israel, Children, Current, News

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