|HBV recurrance/HIV long term
Dec 23, 2002
I am a 43 y/o male who was infected with HIV early 80's and tested positive 17 years ago. What triggered the test was a suppressed CD4 count which led to the discovery of an active HBV infection. This was subsequently followed and the HBV resolved, with a neg surface antigen & core antigen test. My liver function returned to normal for many years. Recently, after 4 years of treatment HAART (Sustiva, Zerit, Epivir) my liver enzymes elevated, and my physician ran a HBV test and a HCV test. HCV came back negative, but the HBV test was positive (expected) but also positive for core & surface antigen.
What could you recommend for treatment to re-resolve the HBV issue? I thought it was unusual for it to recur, once resolved. Need help on this one, as I am doing well otherwise.
| Response from Dr. Dieterich
It is possible for HBV to recur in HIV however if you are on zerit, you should also ask your MD to check a serum lactate for liver toxicity from mitochondrial toxicity. You also need to check your e antigen and e antibody and HBV DNA by PCR. If the DNA is elevated, then you should add or substitute Tenofovir (Viread) probably for the zerit. DTD
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.