Hep B Case Study

326 WordsMar 12, 20152 Pages
Hepatitis B Case Study The case study I found was on a 3 month old infant of Southeast Asian descent. Previously healthy, on December 13, 1999, the infant was brought and quickly admitted to an emergency room at a local hospital in Michigan after having symptoms of a fever, diarrhea, and jaundice for five days. Hepatitis B serology, liver function test and liver enzymes were taken soon after being admitted. Lab results reported that the infant was hepatitis B surface antigen and IgM core antibody positive along with total bilirubin 16.6 elevated, direct bilirubin 4.7, ALT 693, and SAT 203. The mother was tested at the same time and the results were also positive. On December 14, 1999 the infants positive test results were reported to the local health department which is required by state law. The infant was diagnosed with hepatic failure caused by hepatitis B virus infection. For a possible liver transplant, the infant was transferred on December 16 to another hospital. After the transfer, the infant began to develop seizures and her condition started to rapidly deteriorate. Unfortunately, on December 17, the infant died. An investigation revealed that during the mother's pregnancy, she tested positive for HBsAg but the results were transcribed incorrectly to the hospital where the baby born, as hepatitis negative in the mother's medical record. State law requires HBsAg positive results be reported to the local health department and both the laboratory and the prenatal care provider failed to do this. As a result, at the time of birth, the infant did not receive a hepatitis B vaccine or hepatitis B immune globulin. The infant wasn’t given the first dose of hepatitis B vaccine until 2 months of age. REFERENCE : unknown (n.d.). Unprotected People Reports: Hepatitis B, Infant Dies of Fulminant Hepatitis B, 1999 . Retrieved February 20, 2015, from

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