2014
DOI: 10.3748/wjg.v20.i11.3044
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Acute hepatitis B of genotype H resulting in persistent infection

Abstract: A 47-year-old man presented with general fatigue and dark urine. The laboratory data showed increased levels of hepatic transaminases. The patient was positive for hepatitis B virus (HBV) markers and negative for anti-human immunodeficiency virus. The HBV-DNA titer was set to 7.7 log copies/mL. The patient was diagnosed with acute hepatitis B. The HBV infection route was obscure. The serum levels of hepatic transaminases decreased to normal ranges without any treatment, but the HBV-DNA status was maintained fo… Show more

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Cited by 9 publications
(12 citation statements)
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“…This reinforces that the spread to Asia may have probably occurred due to trips of HBV‐H infected people from North America to Asia. Interestingly there are reports of some Japanese patients positive for HBV‐H, who had no history of international travel abroad, 10 also suggesting the local spreading of the lineage HBV‐H II after its introduction in the country. Furthermore, HBV‐H was also already detected in other countries, such as Brazil 13 and Turkey, 14 in the last decades.…”
Section: Discussionmentioning
confidence: 99%
“…This reinforces that the spread to Asia may have probably occurred due to trips of HBV‐H infected people from North America to Asia. Interestingly there are reports of some Japanese patients positive for HBV‐H, who had no history of international travel abroad, 10 also suggesting the local spreading of the lineage HBV‐H II after its introduction in the country. Furthermore, HBV‐H was also already detected in other countries, such as Brazil 13 and Turkey, 14 in the last decades.…”
Section: Discussionmentioning
confidence: 99%
“…1 using the QIAamp Blood Mini Kit (Qiagen K.K., Tokyo, Japan). The entire genome of HBV was amplified by PCR using primers as described 14. Amplified fragments were sequenced directly with an automated DNA sequencer (3500 Genetic Analyzer; Applied Biosystems, Foster City, CA).…”
Section: Methodsmentioning
confidence: 99%
“…Therefore, HBV has diverse genetic variability and is classified into at least eight genotypes: A to H. Some differences in clinical features and outcomes have been reported among these genotypes. ( 3‐8 ) HBV comprises four open reading frames (ORFs) coding for hepatitis B surface antigen (HBsAg), hepatitis B e (HBe) antigen/hepatitis B core (HBc) antigen (HBe/c), hepatitis B polymerase (HBp), and HBV X protein (HBx). HBsAg consists of three species: small (S‐), middle (M‐), and large (L‐) hepatitis B surface (HBs) proteins.…”
mentioning
confidence: 99%