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Revista Médica Sinergia

2019, Número 04

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Revista Médica Sinergia 2019; 4 (04)


Infección del virus de la hepatitis E en mujeres embarazadas

Peña MM, Barquero ODE, Molina JVN, Segura GJM

Idioma: Español
Referencias bibliográficas: 24
Paginas: 32-40
Archivo PDF: 251.49 Kb.


RESUMEN

El virus de la hepatitis E es un agente infeccioso emergente que afecta tanto países en vías de desarrollo como países ya desarrollados. Este virus hepatotropo causa una amplia gama de cuadros clínicos; desde hepatitis viral aguda autolimitada hasta falla hepática fulminante. Las mujeres embarazadas se encuentran en mayor riesgo, por causas hormonales e inmunológicas, de una evolución tórpida de esta enfermedad aumentando la morbimortalidad materno-fetal. El manejo de la hepatitis E en mujeres gestantes se limita a tratamiento de soporte, por lo que las medidas preventivas son la meta principal para esta población. Este artículo de revisión destaca la epidemiología, los diferentes cuadros clínicos y complicaciones obstétricas asociadas a la infección del virus de la hepatitis E durante el embarazo. Además, se discute el rol de la progesterona y el sistema inmunológico en las pacientes afectadas por esta enfermedad.


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