TABLE 1.
Epidemiologic and clinical summary of hepatitis A cases among residents of group homes — Michigan, April–July 2013
| Case no. | Group home | Work site | Age (yrs) | Sex | Illness onset date | Date of diagnosis | Clinical/Laboratory results | Symptoms |
|---|---|---|---|---|---|---|---|---|
| 1 | A | None | 48 | M | 4/16 | 4/24 | IgM anti-HAV+; ALT 2,525 U/dL; AST 4,530 U/dL | Yellow sclera, dark urine |
| 2 | A | A | 45 | M | 5/4 | 5/16 | IgM anti-HAV+; ALT 436 U/dL; AST 175 U/dL | Lethargic, chalky stools, dark urine, diarrhea, jaundice |
| 3 | B | B | 47 | M | 5/17 | 5/21 by clinical laboratory; 5/31 confirmed by MDCH laboratory | IgM anti-HAV+; ALT 693 U/dL; AST 118 U/dL | Painless jaundice, no other symptoms |
| 4 | C | B | 49 | M | 5/23 | 5/26 | IgM anti-HAV+; ALT 1,314 U/dL; AST 463 | Weak, difficulty standing |
| 5 | B | C | 42 | M | 5/28 | 5/29 | IgM anti-HAV+; ALT 4,946 U/dL; AST 4,521 U/dL | Jaundice, dark urine, decreased appetite |
| 6 | B | D | 49 | M | 5/29 | 5/30 | IgM anti-HAV+; ALT 1,419 U/dL; AST 792 U/dL | Abdominal pain, decreased appetite |
| 7 | D | E | 45 | M | 7/5 | 7/10 | IgM anti-HAV+; ALT 2,434 U/dL; AST 2,082 U/dL | Nausea, vomiting, orange urine, jaundice |
| 8 | E | F | 61 | F | 7/23 | 7/25 | IgM anti-HAV+; ALT 1,291 U/dL; AST 980 U/dL | Jaundice |
Abbreviations: IgM = immunoglobulin M; HAV = hepatitis A virus; ALT = alanine aminotransferase; AST = aspartate aminotransferase; MDCH = Michigan Department of Community Health.