In pregnancy which viral infection has maximum moality?
High-Yield Explanation
HEV hepatitis is an enterically transmitted, waterborne infection occurring primarily beyond the years of infancy. HEV is endemic in India where it is caused by fecal con- tamination of drinking water. Prevalence rates of anti-HEV IgG antibodies approach 40% in the Indian population. Epidemics have been repoed from Asia, sub-Saharan Africa, and Mexico. Sporadic infection seems to be uncom- mon; it is seen mainly in travelers and accounts for more than 50% of cases of sporadic acute viral hepatitis in India. In most cases, the disease is self-limited; HEV is not associated with chronic liver disease or persistent viremia. A characteristic feature of the infection is the high moality rate among pregnant women approaching 20% ref Robbins 9/e p 619