SlideShare a Scribd company logo
VIRAL HEPATITIS Dr Kamran Afzal Classified Microbiologist
HEPATITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A “ Infectious” “ Serum” Viral hepatitis Enterically transmitted Parenterally transmitted F, G, TTV ? other E NANB B D C Viral Hepatitis - Historical Perspectives
[object Object],*linear, single strand;  ** circular, double strand;  *** circular, single strand  Virus HAV HBV HCV HDV HEV DNA or RNA RNA* DNA** RNA* RNA*** RNA* Family Picornaviridae Hepadnaviridae Flaviviridae Deltavirus (genus) ? Envelope no yes yes yes no (Previously classified as a calicivirus)
 
 
Basic Features of Hepatitis Viruses Virus A B C D E Incubation Period*   4 (2-6)   8-12 (6-24)   6-9 (2-24) ? (2-10)   4-5 (2-9) Transmission   fecal-oral parenteral parenteral parenteral fecal-oral * Weeks Chronic Infection   No Yes Yes Yes No
CAUSES OF ACUTE HEPATITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CAUSES OF CHRONIC HEPATITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEPATITIS A
NATURE OF HAV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HAV  CHARACTERS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EPIDEMIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
TRANSMISSION ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
PATHOGENESIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOLOGY ,[object Object],[object Object],[object Object],[object Object]
CLINICAL FINDINGS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LABORATORY DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fecal HAV Symptoms 0 1 2 3 4 5 6 12 24 Hepatitis A Infection Total anti-HAV Titer ALT IgM anti-HAV Months after exposure Typical Serological Course IgG anti-HAV
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PREVENTION ,[object Object],[object Object]
VACCINATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vaccine Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEPATITIS E
HEPATITIS E VIRUS ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],EPIDEMIOLOGY
 
TRANSMISSION ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CLINICAL FEATURES
Symptoms ALT IgG anti-HEV IgM anti-HEV Virus in stool 0 1 2 3 4 5 6 7 8 9 10 11 12 13 Hepatitis E Virus Infection Typical Serologic Course Titer Weeks after Exposure
 
LABORATORY DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],PREVENTION AND CONTROL MEASURES
HEALTH EDUCATION MESSAGES ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
Robin Thomas
 
Hepatitis A
Hepatitis A Hepatitis A
Hepatitis A
Priyamadhaba Behera
 
Hepatitis D
Hepatitis DHepatitis D
Hepatitis D
Prabita Shrestha
 
Infectious hepatitis
Infectious hepatitisInfectious hepatitis
Infectious hepatitis
OPTOM FASLU MUHAMMED
 
Hepatitis
HepatitisHepatitis
Viral hepatitis
Viral hepatitisViral hepatitis
viral hepatitis- types, symptoms, risk factors
viral hepatitis- types, symptoms, risk factors viral hepatitis- types, symptoms, risk factors
viral hepatitis- types, symptoms, risk factors
Raja Rajeswari S
 
Management of Hepatitis B
Management of Hepatitis BManagement of Hepatitis B
Management of Hepatitis B
Arun Vasireddy
 
Hepatitis c
Hepatitis cHepatitis c
HEPATITIS C
HEPATITIS CHEPATITIS C
HEPATITIS C
MAHESWARI JAIKUMAR
 
Hepatitis A and E
Hepatitis A and EHepatitis A and E
Hepatitis A and E
Amit Poudel
 
Hepatitis c
Hepatitis cHepatitis c
Hepatitis c
John Newquist
 
Hepatitis C - Etiology Pathogenesis Clinical Features Diagnosis Management
Hepatitis C - Etiology Pathogenesis Clinical Features Diagnosis ManagementHepatitis C - Etiology Pathogenesis Clinical Features Diagnosis Management
Hepatitis C - Etiology Pathogenesis Clinical Features Diagnosis Management
Chetan Ganteppanavar
 
HIV AIDS
HIV AIDSHIV AIDS
Hepatitis e
Hepatitis eHepatitis e
Hepatitis e
jaynandanprasadsah2
 
Hepatitis b
Hepatitis bHepatitis b
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
MEEQAT HOSPITAL
 

What's hot (20)

Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
 
Hepatitis A
Hepatitis A Hepatitis A
Hepatitis A
 
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
 
Hepatitis D
Hepatitis DHepatitis D
Hepatitis D
 
Infectious hepatitis
Infectious hepatitisInfectious hepatitis
Infectious hepatitis
 
Hepatitis
HepatitisHepatitis
Hepatitis
 
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
 
viral hepatitis- types, symptoms, risk factors
viral hepatitis- types, symptoms, risk factors viral hepatitis- types, symptoms, risk factors
viral hepatitis- types, symptoms, risk factors
 
Management of Hepatitis B
Management of Hepatitis BManagement of Hepatitis B
Management of Hepatitis B
 
Hepatitis c
Hepatitis cHepatitis c
Hepatitis c
 
HEPATITIS C
HEPATITIS CHEPATITIS C
HEPATITIS C
 
Hepatitis A and E
Hepatitis A and EHepatitis A and E
Hepatitis A and E
 
35. hepatitis
35. hepatitis35. hepatitis
35. hepatitis
 
Hepatitis ppt final
Hepatitis ppt finalHepatitis ppt final
Hepatitis ppt final
 
Hepatitis c
Hepatitis cHepatitis c
Hepatitis c
 
Hepatitis C - Etiology Pathogenesis Clinical Features Diagnosis Management
Hepatitis C - Etiology Pathogenesis Clinical Features Diagnosis ManagementHepatitis C - Etiology Pathogenesis Clinical Features Diagnosis Management
Hepatitis C - Etiology Pathogenesis Clinical Features Diagnosis Management
 
HIV AIDS
HIV AIDSHIV AIDS
HIV AIDS
 
Hepatitis e
Hepatitis eHepatitis e
Hepatitis e
 
Hepatitis b
Hepatitis bHepatitis b
Hepatitis b
 
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
 

Viewers also liked

Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
Angel Das
 
Hepatitis
HepatitisHepatitis
Hepatitisdorai
 
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
Himanshu Dev
 
The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...
The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...
The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...Farya Mubarik
 
HEV
HEVHEV
Acute hepatitis
Acute hepatitis Acute hepatitis
Acute hepatitis Manoj Ghoda
 
Hepatitis E yashwant kumar
Hepatitis E yashwant kumar Hepatitis E yashwant kumar
Hepatitis E yashwant kumar Yashwant Kumar
 
Viral Hepatitis
Viral HepatitisViral Hepatitis
Viral Hepatitis
Joy Awoniyi
 
Hepatitis acute
Hepatitis acute Hepatitis acute
Hepatitis acute
Jitendra Ingole
 
Acute viral hepatitis
Acute viral hepatitisAcute viral hepatitis
Acute viral hepatitis
MD Specialclass
 
Bacterial nutrition
Bacterial nutritionBacterial nutrition
Bacterial nutrition
axmad abuubakar Abuubakar
 

Viewers also liked (20)

Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
 
Hepatitis
HepatitisHepatitis
Hepatitis
 
Pathology of Hepatitis
Pathology of HepatitisPathology of Hepatitis
Pathology of Hepatitis
 
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
 
The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...
The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...
The interaction of Nrf2 and Glyoxalase I in response to lipid loading in Hepa...
 
HEV
HEVHEV
HEV
 
Acute hepatitis
Acute hepatitis Acute hepatitis
Acute hepatitis
 
Hepatitis E yashwant kumar
Hepatitis E yashwant kumar Hepatitis E yashwant kumar
Hepatitis E yashwant kumar
 
Viral Hepatitis
Viral HepatitisViral Hepatitis
Viral Hepatitis
 
Coll Trans Micro Specimens
Coll Trans Micro SpecimensColl Trans Micro Specimens
Coll Trans Micro Specimens
 
Hepatitis acute
Hepatitis acute Hepatitis acute
Hepatitis acute
 
Hepatitis E
Hepatitis EHepatitis E
Hepatitis E
 
Acute viral hepatitis
Acute viral hepatitisAcute viral hepatitis
Acute viral hepatitis
 
Sterilization+ Disinfection
Sterilization+ DisinfectionSterilization+ Disinfection
Sterilization+ Disinfection
 
Toxoplasma+trichomonas
Toxoplasma+trichomonasToxoplasma+trichomonas
Toxoplasma+trichomonas
 
Giardia+Entamoeba
Giardia+EntamoebaGiardia+Entamoeba
Giardia+Entamoeba
 
Hnana
HnanaHnana
Hnana
 
Echinococcus+hydatid
Echinococcus+hydatidEchinococcus+hydatid
Echinococcus+hydatid
 
Trichuris+enterobius.ppt
Trichuris+enterobius.pptTrichuris+enterobius.ppt
Trichuris+enterobius.ppt
 
Bacterial nutrition
Bacterial nutritionBacterial nutrition
Bacterial nutrition
 

Similar to Viral hepatitis a+e

Hepatitis a shivaom
Hepatitis a shivaomHepatitis a shivaom
Hepatitis a shivaom
Shivaom Chaurasia
 
Acute hepatitis
Acute hepatitis Acute hepatitis
Acute hepatitis
Syed Ali
 
syed fazil
syed fazilsyed fazil
syed fazil
Syed Ali
 
Liver Disease.ppt
Liver Disease.pptLiver Disease.ppt
Liver Disease.pptShama
 
Infectious Diseases Of The Liver - Emergency Room Procedures
Infectious Diseases Of The Liver - Emergency Room ProceduresInfectious Diseases Of The Liver - Emergency Room Procedures
Infectious Diseases Of The Liver - Emergency Room Procedures
Josyann Abisaab
 
ACUTE VIRAL HEPATITIS
ACUTE VIRAL HEPATITISACUTE VIRAL HEPATITIS
ACUTE VIRAL HEPATITIS
DrBasith Lateef
 
Virus hepatitis 1
Virus hepatitis 1Virus hepatitis 1
Virus hepatitis 1
fikri asyura
 
Viruses by Disease Type
Viruses by Disease TypeViruses by Disease Type
Viruses by Disease Type
A Wall
 
Chronic hepatits in children
Chronic hepatits in childrenChronic hepatits in children
Chronic hepatits in children
Virendra Hindustani
 
Hepatitis a. (2)
Hepatitis a. (2)Hepatitis a. (2)
Hepatitis a. (2)
Mohamed Adan Ahmed (marwan)
 
Hepatitis .pdf
Hepatitis .pdfHepatitis .pdf
Hepatitis .pdf
Ashish Jitendranath
 
ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor Dept of...
ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor  Dept of...ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor  Dept of...
ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor Dept of...
NageshKumarTC
 
HEPATITIS IN CHILDREN
HEPATITIS IN CHILDRENHEPATITIS IN CHILDREN
HEPATITIS IN CHILDREN
Arifa T N
 
hepatitis-200829153432 (1).pdf
hepatitis-200829153432 (1).pdfhepatitis-200829153432 (1).pdf
hepatitis-200829153432 (1).pdf
IshikaKakani
 
Hepatitis c (hcv)
Hepatitis c (hcv)Hepatitis c (hcv)
Hepatitis c (hcv)
Yangtze university
 
ACUTE HEPATITIS (causes and Clinical Features)
ACUTE HEPATITIS (causes and Clinical Features)ACUTE HEPATITIS (causes and Clinical Features)
ACUTE HEPATITIS (causes and Clinical Features)
faisalali249
 
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
kemboiarn
 
Inflammation of liver by ketan thummar
Inflammation of liver by ketan thummarInflammation of liver by ketan thummar
Inflammation of liver by ketan thummarGCONS/VNSGU
 
Hep day 7 for slide share
Hep day 7 for slide shareHep day 7 for slide share
Hep day 7 for slide share
munir salman
 
Hepatic disorder
Hepatic disorderHepatic disorder
Hepatic disorder
mdsrocks
 

Similar to Viral hepatitis a+e (20)

Hepatitis a shivaom
Hepatitis a shivaomHepatitis a shivaom
Hepatitis a shivaom
 
Acute hepatitis
Acute hepatitis Acute hepatitis
Acute hepatitis
 
syed fazil
syed fazilsyed fazil
syed fazil
 
Liver Disease.ppt
Liver Disease.pptLiver Disease.ppt
Liver Disease.ppt
 
Infectious Diseases Of The Liver - Emergency Room Procedures
Infectious Diseases Of The Liver - Emergency Room ProceduresInfectious Diseases Of The Liver - Emergency Room Procedures
Infectious Diseases Of The Liver - Emergency Room Procedures
 
ACUTE VIRAL HEPATITIS
ACUTE VIRAL HEPATITISACUTE VIRAL HEPATITIS
ACUTE VIRAL HEPATITIS
 
Virus hepatitis 1
Virus hepatitis 1Virus hepatitis 1
Virus hepatitis 1
 
Viruses by Disease Type
Viruses by Disease TypeViruses by Disease Type
Viruses by Disease Type
 
Chronic hepatits in children
Chronic hepatits in childrenChronic hepatits in children
Chronic hepatits in children
 
Hepatitis a. (2)
Hepatitis a. (2)Hepatitis a. (2)
Hepatitis a. (2)
 
Hepatitis .pdf
Hepatitis .pdfHepatitis .pdf
Hepatitis .pdf
 
ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor Dept of...
ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor  Dept of...ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor  Dept of...
ACUTE VIRAL HEPATITIS II.pptDr. Nagesh Kumar T.C Associate Professor Dept of...
 
HEPATITIS IN CHILDREN
HEPATITIS IN CHILDRENHEPATITIS IN CHILDREN
HEPATITIS IN CHILDREN
 
hepatitis-200829153432 (1).pdf
hepatitis-200829153432 (1).pdfhepatitis-200829153432 (1).pdf
hepatitis-200829153432 (1).pdf
 
Hepatitis c (hcv)
Hepatitis c (hcv)Hepatitis c (hcv)
Hepatitis c (hcv)
 
ACUTE HEPATITIS (causes and Clinical Features)
ACUTE HEPATITIS (causes and Clinical Features)ACUTE HEPATITIS (causes and Clinical Features)
ACUTE HEPATITIS (causes and Clinical Features)
 
Viral hepatitis
Viral hepatitisViral hepatitis
Viral hepatitis
 
Inflammation of liver by ketan thummar
Inflammation of liver by ketan thummarInflammation of liver by ketan thummar
Inflammation of liver by ketan thummar
 
Hep day 7 for slide share
Hep day 7 for slide shareHep day 7 for slide share
Hep day 7 for slide share
 
Hepatic disorder
Hepatic disorderHepatic disorder
Hepatic disorder
 

More from Kamran Afzal, PhD.

Cell injury
Cell injuryCell injury
Cell injury
Kamran Afzal, PhD.
 
Concept of Infection Control
Concept of Infection ControlConcept of Infection Control
Concept of Infection Control
Kamran Afzal, PhD.
 
Rheumatic Fever and Rheumatic Heart Disease
Rheumatic Fever and Rheumatic Heart DiseaseRheumatic Fever and Rheumatic Heart Disease
Rheumatic Fever and Rheumatic Heart Disease
Kamran Afzal, PhD.
 
Fungal biofilm
Fungal biofilmFungal biofilm
Fungal biofilm
Kamran Afzal, PhD.
 
2.characteristics of biowarfare agents and their methods of spread
2.characteristics of biowarfare agents and their methods of spread2.characteristics of biowarfare agents and their methods of spread
2.characteristics of biowarfare agents and their methods of spreadKamran Afzal, PhD.
 
1.introduction and history of biological warfare agents
1.introduction and history of biological warfare agents1.introduction and history of biological warfare agents
1.introduction and history of biological warfare agentsKamran Afzal, PhD.
 

More from Kamran Afzal, PhD. (20)

Cell injury
Cell injuryCell injury
Cell injury
 
Concept of Infection Control
Concept of Infection ControlConcept of Infection Control
Concept of Infection Control
 
Rheumatic Fever and Rheumatic Heart Disease
Rheumatic Fever and Rheumatic Heart DiseaseRheumatic Fever and Rheumatic Heart Disease
Rheumatic Fever and Rheumatic Heart Disease
 
Fungal biofilm
Fungal biofilmFungal biofilm
Fungal biofilm
 
2.characteristics of biowarfare agents and their methods of spread
2.characteristics of biowarfare agents and their methods of spread2.characteristics of biowarfare agents and their methods of spread
2.characteristics of biowarfare agents and their methods of spread
 
1.introduction and history of biological warfare agents
1.introduction and history of biological warfare agents1.introduction and history of biological warfare agents
1.introduction and history of biological warfare agents
 
Crbsi kamran
Crbsi kamranCrbsi kamran
Crbsi kamran
 
Rubella + rabies
Rubella + rabiesRubella + rabies
Rubella + rabies
 
Ricketssia
RicketssiaRicketssia
Ricketssia
 
Chlamydia
ChlamydiaChlamydia
Chlamydia
 
Brucella and mycoplasma
Brucella and mycoplasmaBrucella and mycoplasma
Brucella and mycoplasma
 
Pseudo+acineto
Pseudo+acinetoPseudo+acineto
Pseudo+acineto
 
Klebsiella+proteus+uti
Klebsiella+proteus+utiKlebsiella+proteus+uti
Klebsiella+proteus+uti
 
Filariasis
FilariasisFilariasis
Filariasis
 
Bacillus anthracis
Bacillus anthracisBacillus anthracis
Bacillus anthracis
 
Strep pneumoniae
Strep pneumoniaeStrep pneumoniae
Strep pneumoniae
 
Zoonosis
ZoonosisZoonosis
Zoonosis
 
Sst is and ssis
Sst is and ssisSst is and ssis
Sst is and ssis
 
Cns infections
Cns infectionsCns infections
Cns infections
 
Strongyloides schistosoma
Strongyloides schistosomaStrongyloides schistosoma
Strongyloides schistosoma
 

Viral hepatitis a+e

  • 1. VIRAL HEPATITIS Dr Kamran Afzal Classified Microbiologist
  • 2.
  • 3. A “ Infectious” “ Serum” Viral hepatitis Enterically transmitted Parenterally transmitted F, G, TTV ? other E NANB B D C Viral Hepatitis - Historical Perspectives
  • 4.
  • 5.  
  • 6.  
  • 7. Basic Features of Hepatitis Viruses Virus A B C D E Incubation Period* 4 (2-6) 8-12 (6-24) 6-9 (2-24) ? (2-10) 4-5 (2-9) Transmission fecal-oral parenteral parenteral parenteral fecal-oral * Weeks Chronic Infection No Yes Yes Yes No
  • 8.
  • 9.
  • 10.
  • 11.
  • 13.
  • 14.
  • 15.
  • 16.  
  • 17.
  • 18.
  • 19.  
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. Fecal HAV Symptoms 0 1 2 3 4 5 6 12 24 Hepatitis A Infection Total anti-HAV Titer ALT IgM anti-HAV Months after exposure Typical Serological Course IgG anti-HAV
  • 25.
  • 26.
  • 27.
  • 28.
  • 30.
  • 31.
  • 32.  
  • 33.
  • 34.  
  • 35.
  • 36. Symptoms ALT IgG anti-HEV IgM anti-HEV Virus in stool 0 1 2 3 4 5 6 7 8 9 10 11 12 13 Hepatitis E Virus Infection Typical Serologic Course Titer Weeks after Exposure
  • 37.  
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.

Editor's Notes

  1. 2
  2. 11
  3. 9
  4. 29 29 29
  5. 27 27 27
  6. 28 28 28
  7. 31 31 31