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Description

Some patients who have recovered from Yellow Fever will develop a hepatitis 7-9 weeks after initial symptom onset. The condition justifies extended patient follow-up after apparent recovery.


Patient selection: recent recovery from Yellow Fever

 

Frequency of condition: 16% of survivors

 

Clinical features:

(1) jaundice

(2) fatigue

(3) headache

(4) myalgia

(5) arthralgia

 

Laboratory findings:

(1) transient elevation in serum AST or ALT > 500 U/L

(2) transient elevation of serum alkaline phosphatase

(3) transient elevation of serum total bilirubin

(4) thrombocytopenia

 

The diagnosis requires exclusion of other conditions such as hepatitis A, autoimmune hepatitis, NAFLD, etc.

 

The condition appears to be generally benign.

 


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