Health Advice



There have been more than 100 cases of mysterious hepatitis among children in the US Doctors are stumped

Sarah Gantz, The Philadelphia Inquirer on

Published in Health & Fitness

Hepatitis A causes acute illness, such as vomiting and diarrhea, and typically resolves within a few weeks. It is spread by ingesting fecal matter from an infected person, for instance through food or water. Though hepatitis is uncommon among children, this is the type they are most likely to be exposed to, Sulieman said.

Hepatitis B can cause long-term health problems and is a leading cause of liver cancer. It is spread through blood or other bodily fluids from an infected person.

Hepatitis C is spread through blood contact with an infected person, for instance by sharing needles or syringes. It can be passed from an infected mother to an infant at birth.

Other viruses can also cause liver inflammation. Doctors are looking into whether adenovirus, type 40, may be linked to the 109 cases under investigation. They are also exploring the possibility that SARS-CoV-2, the virus that causes COVID-19, may weaken children's immune systems and make them more vulnerable to an adenovirus infection that could lead to hepatitis, though this was ruled out in some of the first U.S.-reported cases in Alabama.

The most common types of non-infectious hepatitis are overdoses of toxins or medications, such as Tylenol.

Q. What are the symptoms of hepatitis?

A. Abdominal pain, fatigue, nausea, and jaundice — yellowing of the skin and eyes — are all symptoms of hepatitis. Parents who notice these symptoms, especially jaundice, in their children should seek medical attention immediately, Sulieman said.


Q. What's causing severe hepatitis among young children?

A. We don't know yet. The most common infectious causes — hepatitis A, B, and C — have not been present in the cases the CDC is investigating. Adenovirus was confirmed among about half of the cases, but doctors don't know yet whether an adenovirus contributed to those children developing hepatitis.

Q. Is hepatitis common among children?

A. No. Hepatitis viruses are rare among children in the United States, Sulieman said. Anyone can develop liver inflammation when they have a virus or infection, so it's possible for children to get hepatitis. However, when hepatitis does occur in children, it is unusual for them to have such extreme cases that they would need a liver transplant, she said.

Q. How is hepatitis treated?

A. Vaccines — recommended for infants and children — are the most effective way to prevent hepatitis A and B infections. There is no cure for hepatitis, but medications can help reduce symptoms and limit liver damage among people who develop chronic, long-term hepatitis.

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