Female, 27 years old, nursing professional in the area of internal medicine hospitalization, suffered a puncture-like occupational accident with abbocath during workday on 11/23/1989.
Therefore, a clinical case review of the source patient and the respective confirmatory tests were performed, without finding information in the clinical history of data on communicable diseases.
Likewise, the analytical tests performed on the patient and on the worker were negative viral markers for hepatitis.
15 days later, the patient presented a temperature rise quantified in 40o, abdominal pain in the right hypochondrium, of mild intensity, continuous, without irradiation and vomiting located in the right hypochondrium, without outpatient treatment, accompanied
The patient denied colluria, acholia and jaundice, so she went to the emergency service and was admitted.
During his stay analytical and serial tests of liver enzymes were performed, and hypertransaminemia and negative serology for hepatitis A and B were observed.
(See Table 1).
Medical treatment was initiated with Konakion®, Lisozima®, Nervobion® and Polyvalent Human Gammaglobulin, in the same way it was vaccinated against hepatitis A and hepatitis B.
1.
Later in 1996, medical labor recognition was carried out, finding the analytical results, positive for HCV and negative for HIV.
In 2004, in view of the personal history of the biological accident worker in 1989, the source patient was located, repeating the serological control, which was positive for the same virus 15 years ago, and could be declared as the source of the disease.
