{"id":1619,"date":"2018-08-23T10:54:37","date_gmt":"2018-08-23T10:54:37","guid":{"rendered":"https:\/\/fehv.org\/?page_id=1619"},"modified":"2018-09-28T00:40:47","modified_gmt":"2018-09-28T00:40:47","slug":"hepatitis-e","status":"publish","type":"page","link":"https:\/\/fehv.org\/en\/diseases\/hepatitis-e\/","title":{"rendered":"Hepatitis E"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1619\" class=\"elementor elementor-1619 elementor-37 elementor-bc-flex-widget\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7e9ee158 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7e9ee158\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-63eff733\" data-id=\"63eff733\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6881c4c5 elementor-widget elementor-widget-image\" data-id=\"6881c4c5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-32cddf1d\" data-id=\"32cddf1d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1aafaa5a elementor-widget elementor-widget-text-editor\" data-id=\"1aafaa5a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>What is Hepatitis E?<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53eb3e56 elementor-widget elementor-widget-text-editor\" data-id=\"53eb3e56\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Hepatitis E is an acute inflammatory disease of the liver<\/strong>. Every year 20 million cases of hepatitis E virus infection are registered. In most of the patients, the infection is acute and resolves in 4-6 weeks. However, <strong>it can become fulminant hepatitis<\/strong>, especially in pregnant women in the third trimester of pregnancy, causing acute liver failure and death.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2f3f15f9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2f3f15f9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-33ddb597\" data-id=\"33ddb597\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-730eafb9 elementor-widget elementor-widget-text-editor\" data-id=\"730eafb9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Cases of chronic hepatitis E and reactivation of the disease have been described in people with low defenses. Although hepatitis E affects all areas of the world, in eastern and southern Asia there are more cases (more than 60% of infections), as well as in countries with limited access and resources for drinking water supply, sanitation and hygiene.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5d816c6c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d816c6c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5b40100b\" data-id=\"5b40100b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-48d315ba elementor-widget elementor-widget-text-editor\" data-id=\"48d315ba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Causes of Hepatitis E<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71d27b7d elementor-widget elementor-widget-text-editor\" data-id=\"71d27b7d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>It is caused by <strong>infection with hepatitis E virus (VEH),<\/strong> which is a positive, single-stranded RNA virus with no cover of the <em>Hepeviridae<\/em> family. There are several genotypes (from 1 to 4) with different geographical distribution and modes of transmission.<\/p>\n<p>Thus, genotype 1 is generally detected in developing countries and causes epidemic outbreaks, while genotype 3 is found in developed countries and does not usually lead to epidemic outbreaks. It is considered a potentially zoonotic disease (that is, it is transmitted from animals to humans), in particular by genotypes 3 and 4 of VEH identified in pigs and wild boars. VEH strains have also been detected in birds, rabbits, rats, bats, etc.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-45b4c7a1\" data-id=\"45b4c7a1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-45da111d elementor-widget elementor-widget-image\" data-id=\"45da111d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/hev_Hepatitis_E_vmd_02.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-600b9393 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"600b9393\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-191f17af\" data-id=\"191f17af\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d05d7cc elementor-widget elementor-widget-shortcode\" data-id=\"1d05d7cc\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><blockquote class=\"blockquote irc-bcq\">Each year there are 20 million cases of infection with the hepatitis E virus.<br><footer>Dr. Vicente Carre\u00f1o<\/footer><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-39be8005 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"39be8005\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5b2e94c5\" data-id=\"5b2e94c5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f79f5b3 elementor-widget elementor-widget-text-editor\" data-id=\"5f79f5b3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Pathways of Hepatitis E infection<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2cdaa4c1 elementor-widget elementor-widget-text-editor\" data-id=\"2cdaa4c1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Hepatitis E is transmitted mainly by fecal-oral route<\/strong>, by ingesting water contaminated with feces, products derived from infected animals (for example, pork) and contaminated foods such as vegetables, seafood, etc. It can also be transmitted by transfusion of infected blood products and from a pregnant woman to the fetus (vertical transmission).<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b251636 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b251636\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-51fe87a3\" data-id=\"51fe87a3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2662a5d3 elementor-widget elementor-widget-image\" data-id=\"2662a5d3\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-174361e\" data-id=\"174361e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7fa1c54e elementor-widget elementor-widget-text-editor\" data-id=\"7fa1c54e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Diagnosis<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3af9cd2 elementor-widget elementor-widget-text-editor\" data-id=\"3af9cd2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>It can be diagnosed by analyzing liver enzymes (transaminases) and detecting antibodies to virus E (anti-VEH) of IgM and IgG type or RNA in faeces, blood or liver. Symptomatic infection occurs mostly in young people and adults aged 15 to 40 years. In children, the infection by VEH is usually asymptomatic.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e44f4b3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e44f4b3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2f9040f\" data-id=\"2f9040f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f1a756a elementor-widget elementor-widget-text-editor\" data-id=\"f1a756a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Prevention<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-27494b3 elementor-widget elementor-widget-text-editor\" data-id=\"27494b3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>There is no specific vaccine against the VEH<\/strong>. Vaccines have been developed in experimental animals but are not available for use in humans (except in China). <strong>Prevention is the most effective measure against the disease<\/strong>. The risk of infection can be reduced by avoiding drinking non-potable water and adopting hygienic practices.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-19a2c08b elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"19a2c08b\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4363a4df\" data-id=\"4363a4df\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-87f60d2 elementor-widget elementor-widget-text-editor\" data-id=\"87f60d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Treatment of Hepatitis E<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ace3639 elementor-widget elementor-widget-text-editor\" data-id=\"3ace3639\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>In the case of hepatitis E it has been shown that ribavirin can be very effective<\/strong>. Hospitalization is usually not required, except in cases of fulminating hepatitis (in infected pregnant women).<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4b15a4cf\" data-id=\"4b15a4cf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2d99c955 elementor-widget elementor-widget-image\" data-id=\"2d99c955\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-497bf74 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"497bf74\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-61bf33b7\" data-id=\"61bf33b7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-596dedbc elementor-widget elementor-widget-text-editor\" data-id=\"596dedbc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h5>There is no specific Hepatitis E vaccine, although some are being investigated in animals.<\/h5>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1c67a69f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1c67a69f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69f70793\" data-id=\"69f70793\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3531f178 elementor-widget elementor-widget-text-editor\" data-id=\"3531f178\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4><strong>References<\/strong><\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5e9af9 elementor-widget elementor-widget-text-editor\" data-id=\"f5e9af9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul>\n<li>Quiroga JA, et al. Hepatitis E virus seroprevalence in acute viral hepatitis in a developed country confirmed by a supplemental assay. J Med Virol 1996;50:16-9.<\/li>\n<li>Carre\u00f1o V, Castillo I (eds.). Hepatitis v\u00edricas: Biolog\u00eda, cl\u00ednica y tratamiento. 1\u00aa ed. Barcelona: Springer Verlag Ib\u00e9rica. Parte VI: Virus C de la hepatitis. 2001; p 449.<\/li>\n<li>Johne R, et al. Hepeviridae: an expanding family of vertebrate viruses. Infect Genet Evol 2014;27:212-29.<\/li>\n<li>Mirazo S, et al. Transmission, diagnosis, and management of hepatitis E: an update. Hepat Med 2014;6:45-59.<\/li>\n<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6236b992 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6236b992\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-67b495fe\" data-id=\"67b495fe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e1d858f elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e1d858f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-71adba09\" data-id=\"71adba09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-66a723da elementor-widget elementor-widget-image\" data-id=\"66a723da\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/Vicente-Carreno-clinica-hepatologia.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6985cec8\" data-id=\"6985cec8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6f0670cb elementor-widget elementor-widget-text-editor\" data-id=\"6f0670cb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Consult our doctor<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6917a9c6 elementor-widget elementor-widget-heading\" data-id=\"6917a9c6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Dr. Vicente Carre\u00f1o<br>Hepatology specialist<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19753837 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"19753837\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-616cc87 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"616cc87\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3f8b3cf8\" data-id=\"3f8b3cf8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f2f09d elementor-widget elementor-widget-heading\" data-id=\"1f2f09d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">REQUEST INFORMATION WITHOUT COMMITMENT<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1f49091d\" data-id=\"1f49091d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6bd0e651 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"6bd0e651\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"\/?page_id=810\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">REQUEST INFORMATION<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-719c613 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"719c613\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-675dcd2\" data-id=\"675dcd2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-186fcd8 elementor-widget elementor-widget-shortcode\" data-id=\"186fcd8\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t    <div class=\"container mt-5\">\r\n        <div class=\"row\">\r\n        \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/cholangitis\/\">Cholangitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a chronic progressive liver disease that mainly affects women (90% of cases) from the fourth decade of life.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/cholangitis\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-a\/\">Hepatitis A<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">Hepatitis A is an acute inflammatory disease of the liver, caused by infection with hepatitis A virus (VAH).<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-a\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-cryptogenic\/\">Cryptogenic Hepatitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a liver disease of an inflammatory nature and can develop chronically.\r\n<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-cryptogenic\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-b\/\">Hepatitis B<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a viral infection of the liver that causes inflammation of the liver and the death of hepatocytes.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-b\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-c\/\">Hepatitis C<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">Hepatitis is an inflammation of the liver, and in the case of hepatitis C, caused by infection with hepatitis C virus (HCV)<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-c\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-e\/\">Hepatitis E<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">Hepatitis E is an acute inflammatory disease of the liver that can lead to fulminant hepatitis.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-e\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n        <\/div>\r\n        <div class=\"row\">\r\n            <div class=\"col text-center\">\r\n                <a class=\"text-primary font-weight-bold\" href=\"https:\/\/fehv.org\/enfermedades\/\" target=\"_self\">Ver todas<\/a>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"Hepatitis E is an acute inflammatory disease of the liver that can lead to fulminant hepatitis.","protected":false},"author":1,"featured_media":0,"parent":1586,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1619","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.7 (Yoast SEO v23.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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