What is hepatitis C?
Hepatitis C is a viral infection of the liver. The liver becomes
inflamed and may stop working properly. The disease may progress
rapidly, but it is more commonly a mild, slow, and chronic disease
in children.
What is the cause?
Hepatitis C is caused by a virus. The virus is spread through
contact with infected blood. Adults can get hepatitis C from
sharing razors or needles, having unprotected sex with someone
infected with hepatitis C, or blood transfusions. Babies can be
exposed to mother's blood during pregnancy, especially during
birth. Casual contact, including contact in daycare, does not
spread hepatitis C.
How is it diagnosed?
About one in twenty babies born to mothers infected with hepatitis
C will get the infection. The baby may be tested for hepatitis C
antibodies after birth. Because mothers give their own antibodies
to their fetus, the baby after delivery will have these
antibodies. This is normal and does not mean the child has the
infection. It takes many months to know if your child is truly
infected.
After about 18 months, it is important to have your toddler tested
for hepatitis C. If the toddler does not have the disease, the
antibodies will all be gone. If the baby has the disease, the test
will show hepatitis C antibodies.
Another way to check for hepatitis C in babies is to check for the
virus itself (not antibodies). This can be done with a blood test
called RT-PCR (reverse transcriptase polymerase chain reaction).
It is not known whether hepatitis C is passed through breast milk.
However, it is recommended that you do not breast-feed if you have
a cracked or bleeding nipple.
What are the symptoms?
Symptoms of hepatitis C may be mild or there may be no symptoms at
all. Symptoms, when present, may include:
- loss of appetite
- tiredness
- fever
- nausea.
How is it treated?
There are new treatments for hepatitis C, but in children they
still are considered experimental. If your child has hepatitis C,
he or she should be referred to a liver specialist. The specialist
will talk with you about risks and benefits of treatment. Children
will need to visit their healthcare providers often for blood
tests and physical exams.
Contact your child's healthcare provider if:
- Your child's appetite continues to decrease.
- Your child has worsening tiredness.
- Your child has vomiting, diarrhea, or abdominal pain.
- Your child develops jaundice.
- You have additional questions about hepatitis C infection.
Written by Robert Brayden, MD, Associate Professor of Pediatrics, University of Colorado Health Sciences Center.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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