patients admitted to San Paolo and Sesto San Giovanni-

from Sara Bettoni

It concerns a boy of 4 years and a girl of 2. So far, nine reviews have been collected from the entire region, two cases are still under consideration. “Active monitoring”

Seven new pediatric cases of acute hepatitis of unknown origin are added to the two that have already emerged in recent weeks. Thus, the reports received on the Pirellone increase to nine, at least until Monday. Two other patients are still under investigation. It communicates it Letizia MorattiVice-President of Lombardy and Councilor for Welfare, answered a question from the Regional Council Gregorio Mammì (M5s). The warning came from the UK, which saw an increase in the number of children affected by this pathology, which was very rare in the past, in the first months of the year. Subsequently, the rest of Europe and Italy and the region also activated surveillance to verify whether a similar increase is on the way. The health authorities have set criteria for selecting patients to focus on. Under the lens children under 10 years, with an acute liver infectiontransaminase values ​​greater than 500 and which test negative for hepatitis A, B, C, D and E.

Patients’ identities

Of the nine Lombard children captured by the surveillance network, two live in the province of Milan. One of them is four years old and was admitted to San Paolo Hospital. The yellowish face and the abnormal liver values ​​that emerged from the tests convinced the doctors of the need for further tests to verify what had caused the liver infection. At present, no known cause has been identified. The little boy is still on the ward, but his relationship is getting better in the meantime. Sesto San Giovanni Hospital took care of a two-year-old child instead. The child was rushed to the emergency room for symptoms unrelated to hepatitis. From subsequent checks, the doctors noticed that he had very high transaminases and then admitted him to the hospital until the values ​​returned to almost normal. Now he’s home.

The Second Ats

The other patients are divided between Insubria Ats (two, including a 17-month-old newborn) and Bergamo (three), while the reports from Brescia would correspond to the child treated by Pope John XXIII of Bergamo and exposed to a transplanted liver disease and a 2-year-old girl who had mild hepatitis and has already left the hospital. Most of the children are under 5 years old (seven of them), according to data reported by the UK. One is six years old and the last, the transplant patient, must be 11. In the monitored group, only one case seems more serious, while the others are improving or have already been discharged.

The monitoring network

“A careful epidemiological surveillance is underway – he explains Letizia Moratti to the classroom -. Currently all Lombard hospitals are able to perform first-level tests to rule out the most common causes of liver infection (serology A, B, C and E) and for more specific and in-depth analyzes, the laboratories work online to be able to respond effectively to the Ministry of Health’s request for monitoring ». The coordination has been handed over to San Matteo in Pavia in collaboration with the outpatient clinic in Milan.

The “suspects”

Experts work hard to understand what triggers hepatitis. Among the main suspects are adenovirus. There are 57 genotypes: some are acquired by the respiratory tract, others by the gastrointestinal tract. Secondly, we are thinking of a role of picornavirus. However, this is a more distant hypothesis.

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4 May 2022 (amendment 4 May 2022 | 07.40)

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