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- W2897731648 abstract "Scarlet fever is a common illness in pediatrics caused by group A beta-hemolytic strep tococcus (GABHS), which usually occurs after an episode of pharyngitis, and has an overall excellent prognosis. Hepatitis secondary to scarlet fever is a rare complication described in adults and even less frequently in children. Our objective was to describe a case of hepatitis secondary to scarlet fever in a pediatric patient.A 12-year-old male with scarlet fever presented with a 4-day history of jaundice, dark urine, and decreased appetite. Laboratory tests revealed elevated liver enzy mes and total and direct bilirubin levels, and negative studies for hepatitis A, B and C, Epstein Barr virus, parvovirus B19, adenovirus, cytomegalovirus, human herpes virus-6, and herpes simplex virus 1 and 2. Abdominal ultrasound examination was normal.The pathogenesis of scarlet fever associated hepatitis remains unclear. Streptococcal pyrogenic exotoxin mediated cellular injury via cytokine production has been proposed as a possible mechanism of hepatotoxicity in GABHS infections.Hepatitis secondary to scarlet fever remains a rare but benign entity, with complete recovery expected over weeks to months." @default.
- W2897731648 created "2018-10-26" @default.
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- W2897731648 date "2018-01-01" @default.
- W2897731648 modified "2023-09-29" @default.
- W2897731648 title "Scarlet fever associated with hepatitis in pediatrics. A case report" @default.
- W2897731648 doi "https://doi.org/10.4067/s0370-41062018005000606" @default.
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