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Fluminant hepatitis isseen in about two percent of patients with acute hepatitis and its mortality is high. It is generally divided into two types according to the duration of the survival after the onset of the disease. In fulminant hepatitis, death occurrs about 10 days after the onset. Those cases survived longer than 10 days are diagnosed as subacute hepatitis. We experienced a case of subacute hepatitis and described it in this report.A 53-year-old male with chief compliants of general fatigue, jaundice, and ascites was admitted to the hospital. In blood biochemistry, the GOT level was higher than the GPT level. Colloid reaction was abnormally high and change in jaundice was seen. After ad-mission, the concentration of ammonium in the blood was elevated and transaminases were decreased. However, jaundice was in creased and psychic symptoms developed from the fifth day of the disease. In spite of various treatments including the steroid therapy, the liver patient died about 30 days after the onset. Autopsy findings revealed severe atrophy of the and diffuse necrosis of hepatic cells.
一般社団法人国立医療学会の論文