The Hepatitis A virus; incubation period is 2 to 6 weeks.
The transmission occurs from person to person or via contaminated food and water. The prophylactic phrase therefore remains: "cook it, peel it or leave it". If you plan on traveling in Southern countries you should be careful with all food that has not been sufficiently cooked (salad buffets!) and you should not drink open water (be careful with the ice, too).
The course of the disease frequently is asymptomatic. In children only 10% of the infected experience symptoms, for the six to 14-year-olds approx. 50% and for adolescents and adults approx. 70%.
1. Prodromal stage:
Duration 2-7 days
Flu-like symptoms: Sub febrile temperatures, fatigue (DD: flu infection!!)
Gastrointestinal problems: Lack of appetite, nausea, pain in the right side of the stomach, diarrhea and joint pain
2. Hepatic organ manifestation
Duration 4-8 weeks
Yellow coloring (in 2/3 of the cases no visible signs of turning yellow)
Urine turns brown and stool becomes colorless
Frequently enlarged liver with sensitivity to pressure
2 weeks before and after onset of the disease (excretion of the pathogen in the stool)
Healing after 4-6 weeks, no chronification, no virus carrier.
Causal therapy not known, therefore only symptomatic measures: bed rest (better for the liver), if bed rest interrupted too early increase of transaminasis
Interruption of intake of all medication that is not vital
- Cytostatica, immune suppressive medication, NSAR
- Corticosteroids (prevent the body’s virus elimination, favor a chronic course, are usually stopped early and then can lead to an episode)
In 0.1% of the cases, hepatitis is violent and is accompanied by a high-grade icterus, ascites, hemorrhagic diathesis, liver coma.
After the disease has been overcome, the patient has life-long.
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