{"id":2099,"date":"2022-08-04T16:49:42","date_gmt":"2022-08-04T04:49:42","guid":{"rendered":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/?page_id=2099"},"modified":"2022-09-06T15:49:08","modified_gmt":"2022-09-06T03:49:08","slug":"hepatitis-e-virus","status":"publish","type":"page","link":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/","title":{"rendered":"Hepatitis E virus"},"content":{"rendered":"\n<p><strong>Infection:<\/strong>  Hepatitis E virus (HEV) infection<\/p>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Brief description:<\/summary><div class=\"ab-accordion-text\">\n<ul><li>Virus that causes an acute hepatitis that self resolves<\/li><li>Majority of infections are asymptomatic.<\/li><li>Previously thought to only be acquired overseas, however 8-10% of NZ blood donors have serological evidence of infection.<\/li><li>Can cause chronic infection in people with significant immunosuppression (e.g. liver transplantation)<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Did you know?<\/summary><div class=\"ab-accordion-text\">\n<ul><li>Hepatitis E is transmitted by the faecal-oral route.<\/li><li>Genotypes 1 and 2 cause infection in humans only and are endemic in Asia and Africa<\/li><li>Genotypes 3 and 4 are zoonotic and are present in Europe, USA and Asia. Infection is usually transmitted by consumption of undercooked meat such as pork. 90% of NZ pigs show serological evidence of infection.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Who should I test?<\/summary><div class=\"ab-accordion-text\">\n<p>Testing generally reserved for patients with <strong>acute hepatitis<\/strong> (ALT &gt; 500) with history of <strong>travel<\/strong> to endemic regions or with <strong>no alternative diagnosis.<\/strong><\/p>\n\n\n\n<ul><li><strong>Mimics<\/strong> to consider in patients with <strong>hepatitis<\/strong>:&nbsp;hepatitis A, B and C, HIV, syphilis<\/li><li>In an outbreak setting a lower threshold for testing is usually warranted<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Test of choice:<\/summary><div class=\"ab-accordion-text\">\n<p>Request<strong> <a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/HPE\">Hep E serology<\/a><\/strong><\/p>\n\n\n\n<p><strong>Hepatitis E virus serology<\/strong> \u2013 IgM and IgG<\/p>\n\n\n\n<ul><li><strong>Anti-HEV IgM<\/strong> is usually detectable 2-3 weeks after exposure and is usually negative after 3-6 months. Therefore detection is consistent with <strong>acute infection<\/strong>.<\/li><li><strong>Anti-HEV IgG<\/strong> is detectable early in the illness and is long lasting. Detection is usually consistent with <strong>prior infection <\/strong>if the IgM is negative.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Tests to avoid\/specialist tests:<\/summary><div class=\"ab-accordion-text\">\n<p><strong><a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/HPER\">Hepatitis E virus PCR<\/a><\/strong><\/p>\n\n\n\n<ul><li>Used to diagnose chronic HEV infection in immunosuppressed patients<\/li><\/ul>\n<\/div><\/details><\/div>\n","protected":false},"excerpt":{"rendered":"Infection: Hepatitis E virus (HEV) infection","protected":false},"author":18,"featured_media":0,"parent":2060,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-left-sidebar.php","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hepatitis E virus &#8212; Awanui Labs \u2013 Otago, Southland<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hepatitis E virus &#8212; Awanui Labs \u2013 Otago, Southland\" \/>\n<meta property=\"og:description\" content=\"Infection: Hepatitis E virus (HEV) infection\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/\" \/>\n<meta property=\"og:site_name\" content=\"Awanui Labs \u2013 Otago, Southland\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/SouthernCommunityLaboratories\" \/>\n<meta property=\"article:modified_time\" content=\"2022-09-06T03:49:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/5\/2023\/07\/Awanui-Labs-Lab-Technician-min.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"917\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/\",\"url\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/\",\"name\":\"Hepatitis E virus &#8212; Awanui Labs \u2013 Otago, Southland\",\"isPartOf\":{\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#website\"},\"datePublished\":\"2022-08-04T04:49:42+00:00\",\"dateModified\":\"2022-09-06T03:49:08+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/#breadcrumb\"},\"inLanguage\":\"en-NZ\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"For Referrers\",\"item\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Microbiology Resources\",\"item\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"How do I diagnose?\",\"item\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Hepatitis E virus\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#website\",\"url\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/\",\"name\":\"Awanui Labs \u2013\u00a0Otago, Southland\",\"description\":\"Laboratory and pathology services\",\"publisher\":{\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-NZ\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#organization\",\"name\":\"Awanui Labs \u2013\u00a0Otago, Southland\",\"url\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-NZ\",\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/5\/2023\/07\/RGB_Awanui-Labs-horizonal-colour-positive.svg\",\"contentUrl\":\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/5\/2023\/07\/RGB_Awanui-Labs-horizonal-colour-positive.svg\",\"width\":861,\"height\":133,\"caption\":\"Awanui Labs \u2013\u00a0Otago, Southland\"},\"image\":{\"@id\":\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/SouthernCommunityLaboratories\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Hepatitis E virus &#8212; Awanui Labs \u2013 Otago, Southland","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/","og_locale":"en_US","og_type":"article","og_title":"Hepatitis E virus &#8212; Awanui Labs \u2013 Otago, Southland","og_description":"Infection: Hepatitis E virus (HEV) infection","og_url":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/","og_site_name":"Awanui Labs \u2013 Otago, Southland","article_publisher":"https:\/\/www.facebook.com\/SouthernCommunityLaboratories","article_modified_time":"2022-09-06T03:49:08+00:00","og_image":[{"width":2000,"height":917,"url":"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/5\/2023\/07\/Awanui-Labs-Lab-Technician-min.jpeg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/","url":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/","name":"Hepatitis E virus &#8212; Awanui Labs \u2013 Otago, Southland","isPartOf":{"@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#website"},"datePublished":"2022-08-04T04:49:42+00:00","dateModified":"2022-09-06T03:49:08+00:00","breadcrumb":{"@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/#breadcrumb"},"inLanguage":"en-NZ","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/hepatitis-e-virus\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/"},{"@type":"ListItem","position":2,"name":"For Referrers","item":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/"},{"@type":"ListItem","position":3,"name":"Microbiology Resources","item":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/"},{"@type":"ListItem","position":4,"name":"How do I diagnose?","item":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/"},{"@type":"ListItem","position":5,"name":"Hepatitis E virus"}]},{"@type":"WebSite","@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#website","url":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/","name":"Awanui Labs \u2013\u00a0Otago, Southland","description":"Laboratory and pathology services","publisher":{"@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-NZ"},{"@type":"Organization","@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#organization","name":"Awanui Labs \u2013\u00a0Otago, Southland","url":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/","logo":{"@type":"ImageObject","inLanguage":"en-NZ","@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#\/schema\/logo\/image\/","url":"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/5\/2023\/07\/RGB_Awanui-Labs-horizonal-colour-positive.svg","contentUrl":"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/5\/2023\/07\/RGB_Awanui-Labs-horizonal-colour-positive.svg","width":861,"height":133,"caption":"Awanui Labs \u2013\u00a0Otago, Southland"},"image":{"@id":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/SouthernCommunityLaboratories"]}]}},"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/pages\/2099"}],"collection":[{"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/comments?post=2099"}],"version-history":[{"count":2,"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/pages\/2099\/revisions"}],"predecessor-version":[{"id":2224,"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/pages\/2099\/revisions\/2224"}],"up":[{"embeddable":true,"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/pages\/2060"}],"wp:attachment":[{"href":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/wp-json\/wp\/v2\/media?parent=2099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}