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| __NOTOC__
| | #REDIRECT[[Hepatitis E Virus]] |
| {{Hepatitis E}}
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| {{CMG}}; {{AE}} {{JS}}
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| ==Overview==
| | [[Category:Emergency mdicine]] |
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| ==Taxonomy==
| | [[Category:Up-To-Date]] |
| [[Virus]]es; ssRNA viruses; ssRNA positive-strand viruses; Hepeviridae; [[Hepevirus]]; [[Hepatitis E virus]]<ref name=NCBI>{{cite web | title = Hepatitis E virus taxonomy | url = http://www.ncbi.nlm.nih.gov/Taxonomy/Browser/wwwtax.cgi?id=12461 }}</ref> | |
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| ==Biology==
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| {| style="float: right;"
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| | [[File:HEV.jpg|200px|thumb|none|Hepatitis E virus <SMALL>Courtesy: ''[http://phil.cdc.gov/phil/details.asp Centers for Disease Control and Prevention]''<ref>{{Cite web | title = http://phil.cdc.gov/phil/details.asp | url = http://phil.cdc.gov/phil/details.asp}}</ref></SMALL>]]
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| The viral particles are 27 to 34 [[nanometer]]s in diameter, are non-enveloped and contain a single-strand of positive-sense [[RNA]] that is approximately 7200 bases in length, polyadenylated at the 3' terminus, and capped at the 5'terminus.<ref name="pmid22549046">{{cite journal| author=Kamar N, Bendall R, Legrand-Abravanel F, Xia NS, Ijaz S, Izopet J et al.| title=Hepatitis E. | journal=Lancet | year= 2012 | volume= 379 | issue= 9835 | pages= 2477-88 | pmid=22549046 | doi=10.1016/S0140-6736(11)61849-7 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22549046 }} </ref><ref name="pmid2107574">{{cite journal| author=Reyes GR, Purdy MA, Kim JP, Luk KC, Young LM, Fry KE et al.| title=Isolation of a cDNA from the virus responsible for enterically transmitted non-A, non-B hepatitis. | journal=Science | year= 1990 | volume= 247 | issue= 4948 | pages= 1335-9 | pmid=2107574 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2107574 }} </ref><ref name="pmid1926770">{{cite journal| author=Tam AW, Smith MM, Guerra ME, Huang CC, Bradley DW, Fry KE et al.| title=Hepatitis E virus (HEV): molecular cloning and sequencing of the full-length viral genome. | journal=Virology | year= 1991 | volume= 185 | issue= 1 | pages= 120-31 | pmid=1926770 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1926770 }} </ref>
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| It was previously classified family [[Caliciviridae]]. However, its [[genome]] more closely resembles the [[rubella|rubella virus]]. It is now classified in a new virus family, named as Hepeviridae.
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| *Caused by the Hepatitis E virus (HEV)
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| *HEV is found in the stool (feces) of persons and animals with hepatitis E.
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| *HEV is spread by eating or drinking contaminated food or water.
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| *Transmission from person to person occurs less commonly than with hepatitis A virus
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| *Most outbreaks in developing countries have been associated with contaminated drinking water. [http://www.cdc.gov/ncidod/diseases/hepatitis/e/fact.htm]
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| ===Life Cycle===
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| ===Genotypes===
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| ==Tropism==
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| ==Natural Reservoir==
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| The [[natural reservoir]] of [[HEV]] is yet to be identified. Different observations have suggested different reservoirs:
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| *Prolonged fecal shedding from patients with history of the disease has been suggested. However, the duration of viral shedding in feces is not compatible with this hypothesis.<ref name="pmid11009149">{{cite journal| author=Aggarwal R, Kini D, Sofat S, Naik SR, Krawczynski K| title=Duration of viraemia and faecal viral excretion in acute hepatitis E. | journal=Lancet | year= 2000 | volume= 356 | issue= 9235 | pages= 1081-2 | pmid=11009149 | doi=10.1016/S0140-6736(00)02737-9 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11009149 }} </ref>
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| *Environmental reservoir was suggested following detection of [[HEV]] in sewages.<ref name="pmid17935174">{{cite journal| author=Ippagunta SK, Naik S, Sharma B, Aggarwal R| title=Presence of hepatitis E virus in sewage in Northern India: frequency and seasonal pattern. | journal=J Med Virol | year= 2007 | volume= 79 | issue= 12 | pages= 1827-31 | pmid=17935174 | doi=10.1002/jmv.21017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17935174 }} </ref>
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| *Continuous fecal shedding from [[asymptomatic]] patients was suggested as a form of maintenance of the [[HEV|virus]], contaminating water supplies.<ref name="pmid21932388">{{cite journal| author=Aggarwal R, Jameel S| title=Hepatitis E. | journal=Hepatology | year= 2011 | volume= 54 | issue= 6 | pages= 2218-26 | pmid=21932388 | doi=10.1002/hep.24674 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21932388 }} </ref>
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| *The existence of an animal reservoir is supported by the detection of anti-[[HEV]] antibodies in different species.<ref name="pmid21932388">{{cite journal| author=Aggarwal R, Jameel S| title=Hepatitis E. | journal=Hepatology | year= 2011 | volume= 54 | issue= 6 | pages= 2218-26 | pmid=21932388 | doi=10.1002/hep.24674 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21932388 }} </ref>
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| ==References==
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| {{reflist|2}}
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| [[Category:Hepatitis|E]]
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| [[Category:Viruses]]
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| [[Category:Infectious disease]] | | [[Category:Infectious disease]] |
| | [[Category:Hepatology]] |
| [[Category:Gastroenterology]] | | [[Category:Gastroenterology]] |