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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
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hep b+/hiv+
Feb 28, 2002

I was tested hiv and hep b positive in 1999 and ever since i had been controling every three months and till date my hiv results remain weakly pos and my dr keeps telling me might be i would't need any med for cd4 remains 629 and my hep b results are Ag Hbs+,anti HBs<10,anti HBc+,Ag HBe neg and my liver shows no sign of being infected, echography neg.MY question is why all the control without any med for any of the disease. My husband after 1 year of relation was completly free from all.

Response from Dr. Rodriguez-Torres

It seems that you are a long term non progressor in terms of your HIV status.You will need to follow closely this,as many patients eventually have a rise in HIV PCR and require therapy.You also have active HBV disease,and it is good that you have a normal sonography.This finding however, does not rule out that you do not have significant liver disease,specially with your high CD4 levels.You will need a liver biopsy to assess this,and to consider therapy for the HBV.

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