We have observed two cases of human infection with intraerythrocytic protozoa. The organisms appeared to be in the Entopolypoides group, which had not previously been associated with human infection. One patient was asplenic. Both patients had hepatic dysfunction, and their serum samples contained blocking factors that interfered in vitro with the stimulation of normal lymphocytes by phytohemagglutinin. It appears that in humans, as well as in experimental animals, host factors are important in resistance to infection by intraerythrocytic parasites. These factors include the presence of a spleen and cell-mediated and humoral immunities. Possibly similar infections will be observed in patients with other impairments of T-cell function, such as those induced by malignancy, thymic dysfunction, or immunosuppressive drugs.

Adult↗

PubMed1978

Aplastic anemia associated with type B viral hepatitis.

Aplastic anemia is a recognized complication of viral hepatitis, but, to our knowledge, no cases associated with type B hepatitis have been described. We report the case of a patient who developed severe aplastic anemia very early in the course of infection with hepatitis B virus.

Adult↗

PubMed1976

An outbreak of type B hepatitis associated with transfusion of plasma protein fraction.

An outbreak of type B hepatitis followed transfusion with a single lot of plasma protein fraction (PPF) at a 1200-bed hospital in June and July 1973. Of 51 recipients of the product, 31 were available as a study population and 19 (61%) had an illness compatible with hepatitis. Epidemiologic and serologic investigations provided firm evidence that this material was the vehicle for transmission of disease to its recipients. Recipients of four other PPF lots from the same manufacturer were studied. Two of these lots were also associated with extremely high clinical hepatitis attack rates (45% and 55%). The other two lots, which had been prepared from donor plasma contributing to the composition of the initially-studied PPF lot, failed to produced clinical illness, although one of these lots was associated with a high prevalence of hepatitis B seropositivity in recipients. Thus, a broad spectrum of clinical and serologic responses was evident in PPF produced from similar donor plasma and pasteurized in the same bulk container. This study is the first to incriminate heat-treated PPF in transmission of type B hepatitis and suggests the need for further studies of the effect of pasteurization cycles on inactivation of hepatitis B virus.

Antibodies, Viral↗

PubMed1975

Oyster-associated hepatitis. Failure of shellfish certification programs to prevent outbreaks.

During October and November 1973, outbreaks of hepatitis A associated with consumption of raw oysters occurred in Houston and in Calhoun, Ga. The oysters implicated in both outbreaks had been harvested in two Louisiana bays. Although the bays had been contaminated with polluted Mississippi River water two months before the oysters were harvested, at the time of harvesting the bays met national sanitation standards for shellfish growing and were certified for oyster fishing. These epidemics raise serious questions about the adequacy of shellfish sanitation monitoring systems currently in use.

Certification↗

PubMed1975

Letter: Telephone transmission of hepatitis B?

Explore the source record for details and available documents.

Hepatitis B↗