Pediatric hepatitis, two suspected cases in Emilia Romagna – Chronicle

Bologna, 22 April 2022 – Suspected case of unknown hepatitis in children has also been reported in Emilia Romagna. This is attested by circular of Ministry of Health sent today to the regions: the confirmed cases in Italy are 2 (of one, assessed as ‘possible’, a transplant was performed) and a total of 11 reports received, as well as fromEmilia Romagnaalso from Abruzzo, Lazio, Lombardy, Marche, Sicily, Tuscany and Veneto for suspected cases of this pathology.

Hepatitis children, when to report suspected cases

In particular, 4 cases can be defined as “suspicious” (exams are ongoing or not defined); 2 cases defined as “possible” (over 10 years); 2 confirmed cases, one patient does not fall under the definition of cases (admitted before January 2022); two cases are being evaluated for possible additional etiological causes.

A positivity for Adenovirus or for COVID-19 has so far been reported “only in two suspected cases” by acute hepatitis with unknown cause in children if origin would be viral.

“However, the role that adenoviruses play in the etiology of these forms of acute hepatitis, assumed by British researchers, has not been definitively confirmed.” British experts had in fact put forward a hypothesis about the role of shutdown in the weakening of immunity in children who are now more at risk of contracting an adenovirus.

Hepatitis in children, suspected cases also in Emilia Romagna
Hepatitis in children, suspected cases also in Emilia Romagna

Hepatitis in children: the symptoms and what we know

Two suspected cases in Modena

From the health structures in Emilia-Romagna, as reported by the Ministry’s circular, the report on two cases in the Modena area was sent to Rome, one of which (based on the criteria for the definition of “case” in the Ministry of Health) is considered “possible“And is currently at home on recovery, and one – hospitalized but recovering – as” possible further etiological causes are being evaluated “.

“At the moment, it is possible to say that there are no situations that cause particular alarm. And that is what it is now possible to say, taking into account the natural confidentiality associated with events concerning human health,” says the Emilia Romagna region.

Children’s hepatitis and Covid

As already claimed by several experts in recent days, the circular signed by the Director General of Health Prevention Giovanni Rezza confirms that “no connection with Vaccine against covid-19“In case of acute hepatitis of unknown cause in children.

In it The United Kingdomwhere the highest number of cases was recorded (108 to 21 April), “a questionnaire administered to the cases, about food and personal habits, did not identify any common exposure. Although laboratory tests in all cases ruled out a viral etiology of type A, B, C , D and E, assess the UK health authorities the contagious hypothesis the most likely, given the epidemiological picture and the clinical characteristics of the cases. However, they have been launched and are also still in progress toxicological studies “.

What are hepatitis and symptoms in children

Hepatitis represents a condition of inflammation in liver which may occur as a result of infectionsfrom food poisoning, of the assumption of medicine or autoimmune diseases.

Hepatitis can be chronic or acute, the other shows up with fever And gastrointestinal disorders, Among the most recognizable symptoms is the yellow color that the child assumes, both in the eyes and in the skin. Other recognizable symptoms may be dark urine, pale gray stools, itchy skin.

Reporting of suspicious cases

“It simply came to our notice then reporting of any cases of acute hepatitis“of unknown origin among children”, which meets the definition of the case currently adopted byWHO“, to the Ministry of Health and the Higher Institute of Health (ISS).” It is currently recommended to assess and possibly also report cases that partially meet the definition of the case. “This is the indication given by circulars from the Ministry of Health.

Age: under 10 years old, -one negative test for viruses of hepatitis A, B, C, D, Eand sharply changed values ​​of enzymes which signals a disorder of liver. It is identikit that should turn on an alarm bell, because – if these characteristics were found in a patient who came to the doctors’ attention in 2022 – we could face a confirmed case of “acute hepatitis of unknown etiology in pediatric age “such as those on which the international spotlight has been turned on in recent days for warnings issued after unusual peaks recorded in some countries, such as England.

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