Transmission of non-A non-B hepatitis to chimpanzees by factor-IX concentrates after fatal complications in patients with chronic liver disease

RJ Wyke, A Thornton, B Portmann, AJ Zuckerman… - The Lancet, 1979 - Elsevier
RJ Wyke, A Thornton, B Portmann, AJ Zuckerman, KN Tsiquaye, Y White, PK Das
The Lancet, 1979Elsevier
Abstract 6 cases of non-A non-B hepatitis which followed administration of four different
batches of concentrates of coagulation factor IX from commercial and non-commercial
sources are described. Of 17 patients who received the concentrate on account of chronic
liver disease, 4 developed hepatitis, and in 3 of these the illness proved fatal. The incubation
periods ranged from 42 to 103 days (mean 65 days). 3 chimpanzees were inoculated with
concentrate from the same batch used on the above patients, a further commercial batch …
Abstract
6 cases of non-A non-B hepatitis which followed administration of four different batches of concentrates of coagulation factor IX from commercial and non-commercial sources are described. Of 17 patients who received the concentrate on account of chronic liver disease, 4 developed hepatitis, and in 3 of these the illness proved fatal. The incubation periods ranged from 42 to 103 days (mean 65 days). 3 chimpanzees were inoculated with concentrate from the same batch used on the above patients, a further commercial batch upon which no adverse reactions had been reported, and plasma from a known non-A non-B carrier. All developed hepatitis after 10 weeks' incubation. Liver biopsy when serum-aminotransferase was at its highest level showed features consistent with acute hepatitis. As in the patients, viral markers for hepatitis A and B, cytomegalovirus, and Epstein-Barr virus were unchanged.
Elsevier
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