{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:59:49Z","timestamp":1785423589794,"version":"3.56.0"},"reference-count":17,"publisher":"American Society for Microbiology","issue":"4","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["ASM Case Rep"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:sec>\n                      <jats:title>Background<\/jats:title>\n                      <jats:p>Chronic hepatitis E is a well-recognized phenomenon in immunocompromised hosts, most typically in the post-transplant population. However, the typical case presentation is usually that of transaminitis leading to rapidly progressive cirrhosis.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Case Summary<\/jats:title>\n                      <jats:p>\n                        In this case report, we discuss the case of a 59-year-old gentleman living with HIV with a history of treated disseminated\n                        <jats:italic toggle=\"yes\">Mycobacterium avium<\/jats:italic>\n                        complex infection treated 8 years prior, who initially presented with asymptomatic deranged liver enzymes and positive hepatitis E virus (HEV) RNA and subsequent recurrent chylous ascites, with good clinical and biochemical response to treatment with ribavirin.\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Conclusion<\/jats:title>\n                      <jats:p>This case, to the best of our knowledge, is the second case of HEV infection presenting with chylous ascites and the first in a HIV-infected patient.<\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.1128\/asmcr.00034-25","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T08:27:57Z","timestamp":1747988877000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":0,"title":["Chronic hepatitis E complicated by chylous ascites in an HIV-infected patient with previous disseminated MAC infection: a case report"],"prefix":"10.1128","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6336-5594","authenticated-orcid":false,"given":"Alex Tanoto","family":"Lim","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/032d59j24","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Infectious Diseases, Tan Tock Seng 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