Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment
Background: Infection with the hepatitis C virus (HCV) during pregnancy has emerged as an increasingly recognized and prevalent condition among women of reproductive age in the United States. While screening recommendations exist for pregnant women at high risk of HCV infection, pregnant women with...
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2018-10-01
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doaj-0a1ea637e3f54f60a7e50d5bc11d21fe2020-11-25T00:57:51ZengElsevierCase Reports in Women's Health2214-91122018-10-0120Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatmentPreetha Nandi0Aley G. Kalapila1Martina L. Badell2Anandi N. Sheth3Emory University School of Medicine, Atlanta, GA, United States; Corresponding author at: 100 Woodruff Circle, Atlanta, GA 30322, United States.Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, GA, United StatesEmory University School of Medicine, Department of Gynecology and Obstetrics, Maternal-Fetal Medicine, Atlanta, GA, United StatesEmory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, GA, United StatesBackground: Infection with the hepatitis C virus (HCV) during pregnancy has emerged as an increasingly recognized and prevalent condition among women of reproductive age in the United States. While screening recommendations exist for pregnant women at high risk of HCV infection, pregnant women with HCV are often under-screened, not diagnosed, or do not receive adequate follow-up, thereby increasing the risk of suboptimal maternal and infant outcomes (including in future pregnancies). Case: A pregnant woman living with HIV presented with intrahepatic cholestasis of pregnancy. She had tested negative for HCV earlier in pregnancy as part of routine screening recommended for women living with HIV. She was found to have sexually acquired a new HCV infection from her partner during pregnancy. She successfully completed treatment postpartum. Conclusion: With the rise in HCV infection among pregnant patients, physicians should be diligent in assessing pregnant women and their partners for HCV risk factors, testing for HCV when risk is identified, and arranging follow-up testing and treatment for HCV-positive mothers and their infants. Keywords: HCV, HCV in pregnancy, co-infection, HCV screening, high-risk obstetrics, HIVhttp://www.sciencedirect.com/science/article/pii/S2214911218300894 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Preetha Nandi Aley G. Kalapila Martina L. Badell Anandi N. Sheth |
spellingShingle |
Preetha Nandi Aley G. Kalapila Martina L. Badell Anandi N. Sheth Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment Case Reports in Women's Health |
author_facet |
Preetha Nandi Aley G. Kalapila Martina L. Badell Anandi N. Sheth |
author_sort |
Preetha Nandi |
title |
Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment |
title_short |
Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment |
title_full |
Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment |
title_fullStr |
Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment |
title_full_unstemmed |
Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment |
title_sort |
sexually acquired acute hepatitis c infection diagnosed during pregnancy: a case report of successful postpartum treatment |
publisher |
Elsevier |
series |
Case Reports in Women's Health |
issn |
2214-9112 |
publishDate |
2018-10-01 |
description |
Background: Infection with the hepatitis C virus (HCV) during pregnancy has emerged as an increasingly recognized and prevalent condition among women of reproductive age in the United States. While screening recommendations exist for pregnant women at high risk of HCV infection, pregnant women with HCV are often under-screened, not diagnosed, or do not receive adequate follow-up, thereby increasing the risk of suboptimal maternal and infant outcomes (including in future pregnancies). Case: A pregnant woman living with HIV presented with intrahepatic cholestasis of pregnancy. She had tested negative for HCV earlier in pregnancy as part of routine screening recommended for women living with HIV. She was found to have sexually acquired a new HCV infection from her partner during pregnancy. She successfully completed treatment postpartum. Conclusion: With the rise in HCV infection among pregnant patients, physicians should be diligent in assessing pregnant women and their partners for HCV risk factors, testing for HCV when risk is identified, and arranging follow-up testing and treatment for HCV-positive mothers and their infants. Keywords: HCV, HCV in pregnancy, co-infection, HCV screening, high-risk obstetrics, HIV |
url |
http://www.sciencedirect.com/science/article/pii/S2214911218300894 |
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