What Causes Mystery Liver Illnesses in Children?

2022-05-31

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1
  • Health officials are still looking for answers related to mysterious cases of severe liver damage in hundreds of young children around the world.
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  • The best available evidence points to a common stomach virus not known to cause liver problems in otherwise healthy children.
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  • That virus was found in the blood of sick children, but it has not been found in their diseased livers.
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  • Eric Kremer is a virus researcher at the Institute of Molecular Genetics of Montpellier in France.
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  • He said, "There's a lot of things that don't make sense."
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  • The U.S. Centers for Disease Control and Prevention and health officials around the world are trying to find out what is going on.
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  • The illnesses are considered rare.
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  • CDC officials recently said they are now looking into 180 possible cases across the United States.
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  • Most of the children were hospitalized.
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  • At least 15 required new livers and six died.
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  • More than 20 other countries have reported hundreds more cases in total.
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  • The largest numbers have been in Britain and the U.S.
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  • Some signs of liver inflammation include fever, tiredness, loss of interest in eating and nausea.
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  • Others include stomach pain, joint pain and jaundice - a condition that causes a person's skin to turn yellow.
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  • Disease experts say they have been working on the mystery illness for months but have struggled to find an exact cause.
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  • The usual causes of liver inflammation in otherwise healthy children come from viruses known as hepatitis A, B, C, D and E.
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  • But none of those viruses appeared in tests.
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  • The children came from different places and there seemed to be no common means of virus contact.
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  • What did show up in tests was a virus known as adenovirus 41.
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  • More than half of the U.S. cases have tested positive for adenovirus.
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  • In a small number of tests to see what kind of adenovirus was present, adenovirus 41 appeared every time.
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  • Dr. Jay Butler is the deputy director for infectious diseases at the CDC.
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  • He told the Associated Press that the fact that adenovirus keeps appearing strengthens the possibility that it plays a part in the illness.
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  • But it is still unclear how.
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  • Many adenoviruses are related to signs of the common cold, such as fever, sore throat and pink eye.
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  • Some versions - including adenovirus 41 - can cause other problems, such as inflammation in the stomach and intestines.
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  • Adenoviruses have been linked in the past to hepatitis in children, but mostly in children with weakened immune systems.
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  • Dr. Umesh Parashar is head of the CDC group that studies gut diseases caused by viruses.
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  • He said recent genetic studies do not suggest that a single new version of adenovirus is to blame.
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  • I'm Jonathan Evans.