The placenta as a barrier to high conjugated bilirubin levels – - The case of an unexpected good maternal and perinatal outcome after acute hepatitis E infection in an HIV positiv…
M Klar, J Thoden, C Möllmann, H Prömpeler, M Kunze · Geburtshilfe und Frauenheilkunde · 2008 · Heft 09
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Zusammenfassung
Introduction: Hepatitis E virus (HEV) infection in pregnancy results in high rates of preterm labour, antepartum haemorrhage, poor fetal outcomes, intrauterine fetal deaths and maternal mortality. Case: A 32 year old G1/P0 HIV-positive Nigerian woman presented at the 27th week of gestation with abdominal pain and jaundice. The ultrasonographic evaluation showed a normal sized fetus, normal umbilical and cerebral Doppler values, but an oligohydramnios. The fetal heart rate showed a decreased variability. Blood pressure and urine test was normal. The initial labs showed normal platelets but signs of beginning live…