Epstein-Barr virus hepatitis can cause transient hepatopulmonary syndrome.
Respir Med Case Rep 2018;
24:50-51. [PMID:
29977758 PMCID:
PMC6010599 DOI:
10.1016/j.rmcr.2018.03.016]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Revised: 03/30/2018] [Accepted: 03/30/2018] [Indexed: 01/17/2023] Open
Abstract
Introduction
Hepatopulmonary syndrome is commonly seen in the patients with chronic liver disease. Acute liver diseases are rarely associated with HPS. We have reported here a case of Transient HPS caused by Epstein-Barr virus hepatitis.
Case report
The patient was a 31 years old man that came to hospital due to RUQ pain and yellowish skin. In examination the patient was tachypnic and O2 saturation was 71% with prominent JVP. ver enzyme and bilirubin were high. All viral hepatitis was negative except anti viral capsid antigen-antibody of EBV. In Blood gas PaO2 was 54 mmHg, O2 saturation 73% and alveolar-arterial gradient was 18 mmHg. Stress Echocardiography with saline injection reported pulmonary arterial pressure 32 cmHg with delayed opacification of left atrium.
Conclusion
transient HPS can be manifestation in the acute hepatitis caused by EBV infection.
Collapse