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业已证实乙型肝炎病毒(HBV)pre C突变后可导致不能产生HBeAg的pre C缺陷病毒株,在某些情况下可引起严重肝病。为弄清是否这种变异HBV与夫妻间传播所致暴发性肝炎(FH)有关,作者对3例既往健康,配偶为慢性HBV携带者,因性接触感染的FH病人进行了研究。 3例FH均无其它感染HBV的危险因素,仅其配偶为HBsAg阳性,而被疑为夫妻间传播所致。患者的配偶均为抗-HBe阳性。3例病人IgM型抗-HBc均阳性,2例HBsAg阳性,1例HBsAg阴性而抗-HBs阳性。例1
The pre C mutation of hepatitis B virus (HBV) has been shown to cause pre C-deficient strains that can not produce HBeAg and in some cases can cause severe liver disease. To determine whether this variant of HBV is associated with fulminant hepatitis (FH) caused by transmission between husband and wife, the authors studied 3 FH patients who were previously healthy and whose partners were chronic carriers of HBV because of sexual contact. No other risk factors for HBV infection were found in 3 cases of FH. Only the spouse was positive for HBsAg, which was suspected to be caused by the transmission between husband and wife. Patient’s spouse is anti-HBe positive. All 3 patients had IgM anti-HBc positive, 2 HBsAg positive, 1 HBsAg negative and anti-HBs positive. example 1