Abstract
Background:
Recently genotype A which is rare in the patients in chronic hepatitis B (CHB) was frequently noted in patients with acute hepatitis B (AHB). To investigate their clinical and virological features, we studied the AHB patients in the past 5 years.
Patients and Methods:
98 patients with AHB and 80 patients with CHB admitted to our hospital between 1998 and 2003 were studied.
Results:
Genotype A was not found in CHB but was frequently noted in AHB (p < 0.001). Comparison of the clinical features of acute hepatitis between the two major genotypes, A and C, homosexual and heterosexual with multiple partners were frequently seen among genotype A patients (p < 0.001). On the other hand, infection from steady partner showed a tendency to be more frequent in genotype C (p = 0.065). In genotype A, the levels of HBVDNA on admission was higher (p = 0.007) and AHB has significantly more frequently progress to chronic infection than in genotype C (p = 0.028). Phylogenetic analysis of genotype A revealed that almost all strains from homosexual men belonged not to the African type A1 but to the Western type A2.
Conclusion:
Genotype A has increased recently among AHB in Japan. This fact may correlate to promiscuous intercourse in high risk group. Prophylactic efforts should be considered to prevent the prevailing of genotype A.
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Takeda, Y., Katano, Y., Hayashi, K. et al. Difference of HBV Genotype Distribution Between Acute Hepatitis and Chronic Hepatitis in Japan. Infection 34, 201–207 (2006). https://doi.org/10.1007/s15010-006-5099-3
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DOI: https://doi.org/10.1007/s15010-006-5099-3