Hepatitis E Virus Infection after Platelet Transfusion in an Immunocompetent Trauma Patient

Emerg Infect Dis. 2017 Jan;23(1):146-147. doi: 10.3201/eid2301.160923.

Abstract

Hepatitis E virus (HEV) infection causes acute liver disease, but severe infections are rare in immunocompetent patients. We describe a case of HEV infection in a previously healthy male trauma patient in France who received massive transfusions. Genotyping confirmed HEV in a transfused platelet pool and the donor.

Keywords: HEV; blood transfusion; cholestasis; contaminated blood products; hepatitis E virus; immunocompetent; injury; jaundice; opportunistic infection; platelet transfusion; transfusion; trauma; viruses.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Antibodies, Viral / blood*
  • Antiviral Agents / therapeutic use*
  • Blood Donors / ethics
  • Blood Platelets / virology*
  • Blood Transfusion / methods
  • Cholecystitis, Acute / physiopathology
  • Cholecystitis, Acute / surgery
  • Cholecystitis, Acute / therapy
  • Hepatitis E / diagnosis*
  • Hepatitis E / drug therapy
  • Hepatitis E / etiology
  • Hepatitis E virus / genetics
  • Hepatitis E virus / immunology
  • Hepatitis E virus / isolation & purification
  • Humans
  • Male
  • Platelet Transfusion / adverse effects*
  • Respiratory Distress Syndrome / physiopathology
  • Respiratory Distress Syndrome / therapy
  • Ribavirin / therapeutic use*
  • Ribs / injuries
  • Shock, Septic / physiopathology
  • Shock, Septic / therapy
  • Spleen / injuries
  • Splenectomy
  • Splenic Rupture / surgery

Substances

  • Antibodies, Viral
  • Antiviral Agents
  • Ribavirin