Children suffering from “hepatitis” are increasing around the world. “Covid” is expected to reduce immunity to Adenovirus or may mutate. Thailand has not yet found
On May 5, 2022 Dr. Somsak Ankasil, Director-General of the Department of Medical Services It said that a warning from the World Health Organization (WHO) showed that the number of pediatric patients with acute hepatitis was increasing. Most of the patients were pediatric patients younger than 10 years of age with diarrhea, vomiting, often without fever, later found to have severe hepatitis. and found that 10% of patients developed liver failure. The cause is not caused by the hepatitis A-E virus.
One-third of the patients were diagnosed with adenovirus infection, and some patients were also infected with SARS-CoV-2. Adenovirus is a type of virus. which is transmitted by close contact aerosol of respiratory secretions touched by contaminated objects, with nearly 50 strains
“Most pediatric patients come with respiratory symptoms. Adenovirus generally does not cause hepatitis in immunocompromised children. Therefore, it is speculated that during the recent COVID-19 outbreak, children’s immunity to adenovirus has decreased due to reduced infection. Or it may be a mutation of Adenovirus or it may be related to coronavirus. This makes children who have normal immunity when infected with Adenovirus and can develop severe hepatitis.” Dr. Somsaksay
Dr. Adisai Phattatang, director of the Queen Sirikit National Institute of Child Health (Children’s Hospital) Acute hepatitis is a condition characterized by acute inflammation of the liver. Patients often have fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, jaundice, yellow eyes, dark urine, pale stools, which are the causes of acute hepatitis in children. May be caused by infections such as Hepatitis A-E, Dengue Fever, Drugs/Toxins, Liver Immunity or genetic diseases of the liver, etc.
for treatment depending on the cause that causes acute hepatitis For acute hepatitis caused by Adenovirus infection, most treatments are symptomatic. There is no specific medication. In the event that the patient has severe symptoms that lead to liver failure Patients often have changes in perception level, lethargy, abnormal bleeding. and may die if not receiving a liver transplant There are currently no reports of hepatitis caused by Adenovirus infection in Thailand.