Premium
Liver Dysfunction in Late Pregnancy: Cytomegalovirus‐Induced Hepatitis or the HELLP Syndrome?
Author(s) -
Ohkuchi Akihide,
Minakami Hisanori,
Suzuki Izumi,
Izumi Akio,
Sato Ikuo
Publication year - 2001
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2001.tb01279.x
Subject(s) - hellp syndrome , medicine , hemolysis , cytomegalovirus , pregnancy , elevated liver enzymes , concomitant , hepatitis , rash , cytomegalovirus infection , liver function tests , immunology , obstetrics , preeclampsia , human cytomegalovirus , herpesviridae , viral disease , virus , genetics , biology
A 27‐year‐old primiparous preeclamptic woman developed a skin rash in late pregnancy and was persistently febrile for 10 days after giving birth. Blood tests suggested that she developed the HELLP syndrome and had concomitant cytomegalovirus (CMV) infection. Hemolysis, slightly impaired liver function, and thrombocytopenia were explainable by either only the CMV infection or only the HELLP syndrome. A literature review of a limited number of such cases and our case suggests that laboratory data in patients with CMV infection can mimic those of the HELLP syndrome. Thus, it may be important to consider CMV infection as a possible cause of abnormal laboratory data similar to the HELLP syndrome.