<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1812-9528</journal-id>
<journal-title><![CDATA[Memorias del Instituto de Investigaciones en Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Mem. Inst. Investig. Cienc. Salud]]></abbrev-journal-title>
<issn>1812-9528</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Investigaciones en Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1812-95282016000300126</article-id>
<article-id pub-id-type="doi">10.18004/mem.iics/1812-9528/2016.014(03)126-130</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico accidental de Hepatitis B crónica. A propósito de dos casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Incidental diagnosis of chronic hepatitis B. Report of two cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel]]></surname>
<given-names><![CDATA[Dora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peralta]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itaugua Departamento de MedicinaInterna ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>14</volume>
<numero>3</numero>
<fpage>126</fpage>
<lpage>130</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1812-95282016000300126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1812-95282016000300126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1812-95282016000300126&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se reporta el diagnóstico accidental de dos casos de hepatitis B crónica por probable transmisión vertical. El primer caso es una gestante de 32 años que es derivada al hospital para monitoreo fetal por oligoamnios; durante su internación entra en trabajo de parto, y es asistida por una profesional sin usar guantes y se produce un importante contacto con sangre. Se realiza a la paciente un control serológico revelando ser portadora de HBsAg pero negativa para HBeAg; positiva para anti-HBe Ac y HBcIgG, negativa para anti HBs y HBc Ac IgM. El segundo caso es un paciente portador de Lupus Eritematoso Sistémico bajo tratamiento inmunosupresor, con antecedentes de tener una madre fallecida y dos hermanos portadores de VHB. La serología reveló: HBsAg (+) con carga viral de 113 copias, HBeAg (-), anti-HBe (+), HBcIgG (+), HBcIgM (-), hepatitis C (-). El paciente recibió tratamiento con tenofovir. Ambos pacientes fueron diagnosticados en forma accidental y considerados ser portadores de hepatitis B crónica inactiva por probable trasmisión vertical por los antecedentes familiares. Estos dos casos constituyen una llamada de atención sobre la transmisión vertical del virus y la importancia de realizar el despistaje en la embarazada en el primer control prenatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Two cases of incidentally diagnosed chronic hepatitis B of probable vertical transmission are reported. The first case is a 32 year-old pregnant patient referred to our center for fetal monitoring due to oligohydramnios; during her hospitalization the patient went into labor, the professional assisted her without gloves and there was an important contact with blood.Serological tests were performed to the patientrevealing to be a HBsAgcarrier, but negative for HBeAg, positive for anti-HBe Ac and HBcIgG, negative for anti HBs and HBc Ac IgM. The second case is a patient with Systemic Lupus Erythematosus under immunosuppressive treatment, with a history of having a deceased mother and two siblings with HBV infection. Serology revealedHBsAg (+) with viral load of 113 copies, HBeAg (-),hepatitis C (-), HBcIgG (+), HBcIgM (-), anti-HBe (+). The patient received treatment with tenofovir. Both patients were incidentally diagnosed and considered to be chronic inactive hepatitis B carriers due to probable vertical transmission based on their family history. These two cases constitute a wake-up call about the vertical transmission of the virus and the importance of performing the screening in all pregnant women in the first prenatal care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hepatitis B crónica]]></kwd>
<kwd lng="es"><![CDATA[transmisión vertical]]></kwd>
<kwd lng="es"><![CDATA[detección accidental]]></kwd>
<kwd lng="es"><![CDATA[portadores asintomáticos de HBsAg]]></kwd>
<kwd lng="en"><![CDATA[Chronic hepatitis B]]></kwd>
<kwd lng="en"><![CDATA[vertical transmission]]></kwd>
<kwd lng="en"><![CDATA[incidentally detection asymptomatic HBsAg carriers]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hepatitis crónicas virales en población inmigrante en España]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Yang Lai]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Calero Bernal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Rísquez]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[de la Horra Padilla]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Esp Salud Pública]]></source>
<year>2014</year>
<volume>88</volume>
<numero>811</numero>
<issue>811</issue>
<page-range>8</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dixit]]></surname>
<given-names><![CDATA[VK]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Incidentally detected asymptomatich bsag positive subjects]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hepatitis B Inactiva]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quintana Duque]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Regino]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Concha Mejía]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Coloproctología y Hepatología Hepatitis B Annual]]></source>
<year>2008</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>95-101</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Variantes de escape del virus de la hepatitis B]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jaramillo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Navas]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chilena Infectol]]></source>
<year>2015</year>
<volume>32</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>190-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lok]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Clinical manifestations and natural history of hepatitis B virus infection]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Concenso de manejo de HBV En Costa Rica]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[BarahonaGarcía]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[HeviaUrrutia]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Madrigal-Borloz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[AMC]]></source>
<year>2008</year>
<volume>50</volume>
<numero>^s3</numero>
<issue>^s3</issue>
<supplement>3</supplement>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lok]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Overview of the management of hepatitis B and case examples]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Artículo de revisión hepatitis viral B ysumanejo. Rev. Med]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jaramillo]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[FCM-UCSG]]></source>
<year>2010</year>
<volume>16</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>307-32</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="">
<collab>Dirección General de Vigilancia de la Salud. Ministerio de Salud Pública y Bienestar Social</collab>
<source><![CDATA[Guía Nacional de Vigilancia y Control de Enfermedades. Sistema Nacional de Vigilancia Epidemiológica]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Paraguay ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud, Organización Panamericana de la Salud</collab>
<source><![CDATA[Salud en las Américas]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Washington, D.C ]]></publisher-loc>
<publisher-name><![CDATA[OMS/OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Gestación e infección por el virus hepatitis B]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabezas-Sánchez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Donayre]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Per Ginecol Obstet]]></source>
<year>2010</year>
<page-range>183-92</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Olmedo]]></surname>
<given-names><![CDATA[GB]]></given-names>
</name>
<name>
<surname><![CDATA[Zorrilla]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bobadilla]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Villagra]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Avalos]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serorreactividad al antígeno de superficie del virus de la Hepatitis B en mujeres que acudieron al Laboratorio Central de Salud Pública Asunción, Paraguay. Mem.Inst. Investig.Cienc]]></article-title>
<collab>Huber Cet al</collab>
<source><![CDATA[Salud]]></source>
<year>2015</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>96</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Frecuencia serológica de infección por Trypanosoma cruzi en donantes de sangre en el Paraguay entre los años 2006 y 2011 Mem. Inst. Investig.Cienc]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marquez Roa]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Lemir de Zelada]]></surname>
<given-names><![CDATA[MO]]></given-names>
</name>
<name>
<surname><![CDATA[Molas]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud]]></source>
<year>2013</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>26-31</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalencia de Hepatitis B (VHB) y Hepatitis C (VHC) en Personas que Viven con el VIH/SIDA (PVVS)]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ovelar]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Samudio]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Valdez]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Aguayo]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev. Inst. Med. Trop.]]></source>
<year>2011</year>
<numero>^s6</numero>
<issue>^s6</issue>
<supplement>6</supplement>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rovira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Picagua]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Granado]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hepatitis B antígeno de superficie y anticuerpos post vacunales en mujeres del Hospital Psiquiátrico de Asunción, Paraguay. Mem.Inst. Investig.Cienc]]></article-title>
<collab>Giménez V et al</collab>
<source><![CDATA[Salud]]></source>
<year>2011</year>
<volume>9</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>57-63</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hepatitis virales en diferentes grupos étnicos del Paraguay]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rovira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Monzón]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Almirón]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Memorias del Instituto de Investigaciones en Ciencias de la Salud]]></source>
<year>2005</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>5-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalencia de marcadores serológicos de hepatitis virales en una población seleccionada Experiencia de un servicio universitario. Años 2000-2007]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rovira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Picaguá]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Giménez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Carpinelli]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Granado]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Memorias del Instituto de Investigaciones en Ciencias de la Salud]]></source>
<year>2009</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>20-6</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Vacunación contra Hepatitis B en unapoblación de riesgoRev]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ovando]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Olmedo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[SaludPúblicaParag]]></source>
<year>2013</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>36-40</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cobertura de vacunación del personal sanitario del Hospital Santísima Trinidad, Asunción-Paraguay Rev]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Irala Cabrera]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Pública Parag]]></source>
<year>2011</year>
<volume>1</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>4-10</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
