A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature review

Background: Acute viral hepatitis is the most common cause of jaundice during pregnancy. Distinct immunological changes during pregnancy and the postpartum period are possible crucial factors associated with flares of chronic hepatitis B. Case: We present the case of a healthy pregnant hepatitis B v...

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Main Authors: Chih-Hsiang Yin, Chia-Ching Chang, Yi-Liang Lee, Shou-En Wu, Yi-Hsin Lin, Paul Ivan Kato, Chuang-Yen Huang
Format: Article
Language:English
Published: IMR Press 2022-07-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/49/7/10.31083/j.ceog4907161
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author Chih-Hsiang Yin
Chia-Ching Chang
Yi-Liang Lee
Shou-En Wu
Yi-Hsin Lin
Paul Ivan Kato
Chuang-Yen Huang
author_facet Chih-Hsiang Yin
Chia-Ching Chang
Yi-Liang Lee
Shou-En Wu
Yi-Hsin Lin
Paul Ivan Kato
Chuang-Yen Huang
author_sort Chih-Hsiang Yin
collection DOAJ
description Background: Acute viral hepatitis is the most common cause of jaundice during pregnancy. Distinct immunological changes during pregnancy and the postpartum period are possible crucial factors associated with flares of chronic hepatitis B. Case: We present the case of a healthy pregnant hepatitis B virus (HBV) carrier at 38 weeks of gestation. She underwent an emergent cesarean section due to acute hepatitis B flare, and ultimately underwent liver transplantation due to a decompensating liver based on an estimated Model for End-Stage Liver Disease score. Conclusions: For pregnant HBsAg positive women, close monitoring with serum HBV-DNA and spartate transaminase (AST)/alanine transaminase (ALT) levels every 3 months is highly recommended. According to the latest guidelines, prenatal antiviral therapy, postpartum HBV vaccination, and hepatitis B immunoglobulin should be administered to prevent mother-to-child transmission.
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institution OA Journals
issn 0390-6663
language English
publishDate 2022-07-01
publisher IMR Press
record_format Article
series Clinical and Experimental Obstetrics & Gynecology
spelling doaj-art-37f2b97aeb2a44cd9826e8263a5cbe082025-08-20T01:56:53ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-07-0149716110.31083/j.ceog4907161S0390-6663(22)01847-4A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature reviewChih-Hsiang Yin0Chia-Ching Chang1Yi-Liang Lee2Shou-En Wu3Yi-Hsin Lin4Paul Ivan Kato5Chuang-Yen Huang6Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, 114 Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, 114 Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, 114 Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, 114 Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, 114 Taipei, TaiwanDepartment of Obstetrics and Gynecology, Hoima Regional Referral Hospital, 7272 Hoima, UgandaDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, 114 Taipei, TaiwanBackground: Acute viral hepatitis is the most common cause of jaundice during pregnancy. Distinct immunological changes during pregnancy and the postpartum period are possible crucial factors associated with flares of chronic hepatitis B. Case: We present the case of a healthy pregnant hepatitis B virus (HBV) carrier at 38 weeks of gestation. She underwent an emergent cesarean section due to acute hepatitis B flare, and ultimately underwent liver transplantation due to a decompensating liver based on an estimated Model for End-Stage Liver Disease score. Conclusions: For pregnant HBsAg positive women, close monitoring with serum HBV-DNA and spartate transaminase (AST)/alanine transaminase (ALT) levels every 3 months is highly recommended. According to the latest guidelines, prenatal antiviral therapy, postpartum HBV vaccination, and hepatitis B immunoglobulin should be administered to prevent mother-to-child transmission.https://www.imrpress.com/journal/CEOG/49/7/10.31083/j.ceog4907161case reporthepatitis bliver transplantationpregnancy
spellingShingle Chih-Hsiang Yin
Chia-Ching Chang
Yi-Liang Lee
Shou-En Wu
Yi-Hsin Lin
Paul Ivan Kato
Chuang-Yen Huang
A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature review
Clinical and Experimental Obstetrics & Gynecology
case report
hepatitis b
liver transplantation
pregnancy
title A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature review
title_full A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature review
title_fullStr A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature review
title_full_unstemmed A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature review
title_short A hepatitis B virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis B: a rare case report and literature review
title_sort hepatitis b virus flare that led to hepatic decompensation and liver transplantation in a pregnant woman with chronic hepatitis b a rare case report and literature review
topic case report
hepatitis b
liver transplantation
pregnancy
url https://www.imrpress.com/journal/CEOG/49/7/10.31083/j.ceog4907161
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