Hepatitis E
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Hepatits E is clinically very similar to Hepatitis A.


  • Water borne similar to hep A(shell fish and water melons!). 30% of dogs, rodents and pigs carry the virus
  • Commonly seen in Asia and the Far East

Very similar to that of hep A:

  • Many patients are asymptomatic. They may never know they have had the disease
  • Very rarely it can be lifethreatening
  • May be a prodromal phase
  • Jaundice, malaise, abdominal pain, nausea & fever ‚Äď usually lasting around 2 weeks

Other Factors:

  • Does not have a chronic state
  • 25% mortality in pregnancy. Often baby will also die.¬†This does not happen with hep A.¬†
  • During an acute infection, IgM antibodies (anti-HEV) are present.
  • There is no active or passive immunity to hepatitis E


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Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) currently works as a GP Registrar and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

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