Abstract
Background
Perinatal and horizontal are the common modes of transmission of hepatitis-B virus in children.
Case characteristics
Two mother-child pairs with children having received multiple blood transfusions in past.
Observation
Both the mothers developed acute hepatitis-B infection whereas children were demonstrated to be having chronic infection with hepatitis-B.
Outcome
One mother cleared her hepatitis-B in fection whereas it persisted in the other. Both children required anti-viral treatment.
Message
Hepatitis-B virus may rarely get transmitted from infected children to their mothers causing acute infection.
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References
Sokal EM, Paganelli M, Wirth S, Socha P, Vajro P, Lacaille F, et al. Management of chronic hepatitis B in childhood: ESPGHAN clinical practice guidelines: Consensus of an expert panel on behalf of the European Society of Pediatric Gastroenterology, Hepatology and Nutrition. J Hepatol. 2013;59:814–29.
WHO. Position Paper on Hepatitis B, 2009. Available From: www.who.int/wer/2009/. Accessed Febuary 1, 2014.
Lok ASF, McMohan BJ. AASLD Practice Guidelines. Chronic Hepatitis B — Update 2009. Hepatology. 2009;50:1–36.
Niederhauser C, Candotti D, Weingand T, Maier A, Tinguely C, Stolz M, et al. Reverse vertical transmission of hepatitis B virus (HBV) infection from a transfusioninfected newborn to her mother. J Hepatol. 2012;56:734–7.
Sciveres M, Maggiore G. Hepatitis B “by proxy”: An emerging presentation of chronic hepatitis B in children. J Pediatr Gastroenterol Nutr. 2007;44:268–9.
Sokal EM, Collie OV, Buts JP. Horizontal transmission of hepatitis B from children to adoptive parents. Arch Dis Child. 1995;72:191.
Komatsu H, Inui A, Sogo T, Tateno A, Shimokawa R, Fujisawa T. Tears from children with chronic hepatitis B virus (HBV) infection are infectious vehicles of HBV transmission: Experimental transmission of HBV by tears, using mice with chimeric human livers. J Infect Dis. 2012;206:478–85.
Allain JP, Mihaljevic I, Gonzalez-Fraile MI, Gubbe K, Holm-Harritshßj L, Garcia JM, et al. Infectivity of blood products from donors with occult hepatitis B virus infection. Transfusion. 2013;53:1405–15.
Shouval D, Shibolet O. Immunosuppression and HBV reactivation. Semin Liver Dis. 2013;33:167–77.
Verma R, Khanna P, Prinja S, Rajput M, Chawla S, Bairwa M. Hepatitis B Vaccine in national immunization schedule: A preventive step in India. Hum Vaccine. 2011;7:1387–8.
Karaman B, Koplay M, Ozturk E, Basekim CC, Ogul H, Mutlu H, et al. Retroaortic left renal vein: multidetector computed tomography angiography findings and its clinical importance. Acta Radiol. 2007;48:355–60.
Calabria HC, Gomez SQ, Cerqueda CS, Presa RB, Miranda A, Castells AA. Nutcracker or left renal vein compression phenomenon: Multidetector computed tomography findings and clinical significance. Eur Radiol. 2005;15:1745–51.
Cohen IJ, Yanai-Inbar I. Neonatal aortic thrombosis: A case description and an explanation for pathogenesis. Clin Pediatr. 1978;17:490–3.
Satyapal KS, Kalideen JM, Haffejee AA, Singh B, Robbs JV. Left renal vein variations. Surg Radiol Anat. 1999;21:77–81.
Yesidag A, Adanir E, Koroglu M, Baykal B, Oya O, Gulsoy UK. Incidence of left renal vein anomalies in routine abdominal CT scan. Tani Girisim Radyol. 2004;10:140–3.
Andrew KK, Thom WR. Nutcracker phenomenon and nutcracker syndrome. Mayo Clin Proc. 2010;85:552–9.
Brereton RJ, Manley S. Acute scrotal pathology in boys. Z KinderchirGrenzgeb. 1980;29:343–7.
Baglaj M, Carachi R. Neonatal bilateral testicular torsion: a plea for emergency exploration. J Urol. 2007;177:2296–9.
Price VE, Ledingham DL, Krümpel A, Chan AK. Diagnosis and management of neonatal purpura fulminans. Semin Fetal Neonatal Med. 2011;16:318–22.
Kaye JD, Levitt SB, Friedman SC, Franco I, Gitlin J, Palmer LS. Neonatal torsion: a 14-year experience and proposed algorithm for management. J Urol. 2008;179:2377–83.
Davenport M, Bianchi A, Gough DC. Idiopathic scrotal haemorrhage in neonates. BMJ. 1989;298:1492–3.
Maas C, Müller-Hansen I, Flechsig H, Poets CF. Acute scrotum in a neonate caused by renal vein thrombosis. Arch Dis Child Fetal Neonatal Ed. 2011;96:F149–50.
Wehinger H, Geiger E, Freudenberg V, Schürmann J, Alexandrakis E, Witt I. Severe hereditary protein C deficiency in a newborn infant with fulminant purpura — successful treatment with phenprocoumon. Klin Padiatr. 1985;197:116–20.
Diamond DA, Borer JG, Peters CA, Cilento BG Jr, Sorcini A, Kaefer M, et al. Neonatal scrotal haematoma: mimicker of neonatal testicular torsion. BJU Int. 2003;91:675–7.
Ricci P, Cantisani V, Drudi FM, Carbone I, Coniglio M, Bosco S, et al. Prenatal testicular torsion: sonographic appearance in the newborn infant. Eur Radiol. 2001;11:2589–92.
Baskerville PA, Ackroyd JS, Browse NL. The etiology of the Klippel-Trenaunay syndrome. Ann Surg. 1985;202:624–7.
Laurence A, Cole LA. HCG, the wonder of today’s science. Reprod Biol Endocrinol. 2012;10:24.
Berndt S, Blacher S, Munaut C, Detilleux J, Perrier d’Hauterive S, Huhtaniemi I, et al. Hyperglycosylated human chorionic gonadotropin stimulates angiogenesis through TGF-a receptor activation. FASEB J. 2013;27:1309–21.
Chen CP, Lin SP, Chang TY, Lee HC, Hung HY, Lin HY, et al. Prenatal sonographic findings of Klippel-Trénaunay-Weber syndrome. J Clin Ultrasound. 2007;35:409–12.
Corusic A, Barisic D, Lovric H, Despot A, Planinic P. Successful laparoscopic bipolar coagulation of a large arteriovenous malformation due to invasive trophoblastic disease: a case report. J Minim Invasive Gynecol. 2009;16:368–71.
Yahi-Mountasser H, Collinet P, Nayama M, Boukerrou M, Robert Y, Deruelle P. Intra-uterine arteriovenous malformations. J Gynecol Obstet Biol Reprod (Paris). 2006;35:614–20.
Bower M, Newlands ES, Holden L, Short D, Brock C, Rustin GJ, et al. EMA/CO for high-risk gestational trophoblastic tumors: results from a cohort of 272 patients. J Clin Oncol. 1997;15:2636–43.
Baar AJ. Klippel-Trenaunay’s syndrome in connection with a possible teratogenic effect of butobarbital. Dermatologica. 1977;154:314–5.
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Khanna, R., Gupta, E., Alam, S. et al. Reverse vertical transmission of hepatitis-B from transfusion-infected children to biological mothers. Indian Pediatr 51, 739–746 (2014). https://doi.org/10.1007/s13312-014-0493-x
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DOI: https://doi.org/10.1007/s13312-014-0493-x