This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General pathology, Subject name: Pathology
[{'content': 'In pregnancy which viral infection has maximum moality? \nSelect and explain. \nA. Hepatitis A virus, B. Hepatitis B virus, C. Hepatitis C virus, D. Hepatitis E virus', 'role': 'user'}, {'content': 'Answer: D \nExplanation: HEV hepatitis is an enterically transmitted, waterborne infection occurring primarily beyond the years of infancy. HEV is endemic in India where it is caused by fecal con- tamination of drinking water. Prevalence rates of anti-HEV IgG antibodies approach 40% in the Indian population. Epidemics have been repoed from Asia, sub-Saharan Africa, and Mexico. Sporadic infection seems to be uncom- mon; it is seen mainly in travelers and accounts for more than 50% of cases of sporadic acute viral hepatitis in India. In most cases, the disease is self-limited; HEV is not associated with chronic liver disease or persistent viremia. A characteristic feature of the infection is the high moality rate among pregnant women approaching 20% ref Robbins 9/e p 619', 'role': 'assistant'}]