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 the UK had to have a liver transplant “for 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”
University of Health Sciences Professor Dr. providing information about hepatitis caused by the virus. 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 treat Covid itself and other viral infections, which are quite common in children during these months, without causing permanent liver damage, families should be alert to the symptoms and consult a doctor, especially if jaundice is present, Polat said. Assoc. Dr. “There has been an increase in hepatitis, the cause of which has not been determined recently, especially jaundice. In fact, there are many causes that can cause inflammation of the liver. Viral infections are one of them,” Polat 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. “
Note that since 2021, there have been cases of Kovid-19 in the literature that show no signs of shortness of breath and appear 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. 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 exposed to hepatitis in childhood. Because hepatitis A 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. “