具有免疫力的孕妇中暴发的疱疹性肝炎:CT影像特征

• 作 者: Mortelé K.J. Barish M.A. 郝筱倩
• 机 构: Div. of Abdom. Imaging/Intervention, Department of Radiology, Brigham and Women\'s Hospital, 75 Fr
• 出 处: 世界核心医学期刊文摘(胃肠病学分册)
• 发表日期: 2005年04期
• 关键词: 疱疹性 肝炎 孕妇 影像特征 免疫力 粟粒样 妊娠期 黄疸性肝炎 肝脏疾病 暴发性肝炎

Fulminant hepatitis due to herpes simplex virus (HSV) is rare in immunocompetent adults. Most reported cas es have clearly established pregnancy as a condition that can predispose to disseminated HSV infection. We report a case of a 25-year-old previously healthy pregnant woman who presented with fatigue, fever, and anicteric hepatitis. Triphasic contrast enhanced computed tomography demonstrated a miliary pattern of multiple, hypovascular, subcentimeter lesions scattered throughout the liver. Familiarity with the clinical findings and computed tomographic appearance may prompt early recognition of fulminant HSV hepatitis and allow differentiation from other hepatic disease during pregnancy.

Most reported cas es have clear established established pregnancy as a condition that can predispose to disseminated HSV infection. We report a case of a 25-year-old previously healthy pregnant woman who presented with fatigue, fever, and anicteric hepatitis. Triphasic contrast enhanced computed tomography demonstrated a miliary pattern of multiple, hypovascular, subcentimeter patients who were scattered early in the liver. Familiarity with the clinical findings and computed tomographic appearance may prompt early recognition of fulminant HSV hepatitis and allow differentiation from other hepatic disease during pregnancy.