|Strange HepB Test Results - Please Help!!
Sep 15, 2004
I received the Hepatitis B vaccine in 1999 and never got confirmation of whether the vaccine worked. I had a girl perform oral sex on me on Feb. 5th, 2004 and went to my doctor to run STD and the Hep B panel blood tests on Feb. 24th, 2004. He ran the Hepatitis B Surface Antigen and Hepatitis B Core AB, IGM tests and both came back non-reactive. On May 14th, 2004 I got drunk (stupid, i know) and had an encounter (no sex of any kind, but naked rubbing of genitals without penetration) with another girl and asked my doctor to run STD and the Hep B panel blood tests again on May 24th, 2004 and I received the following results: Hepatitis B Surface Antibody, Quant - 68.2 mIU/ml (indicates immunity). Hepatitis B Surface Antigen - Non-reactive. Hepatitis B Core Antibody, IGM - Reactive. Hepatitis B Core Antibody Total, Reactive. Can you please help me interpret these results - do I have an active Hepatitis B infection and can I infect others? Was I recently infected despite having the vaccine in 1999? If I have had a recent infetion, is it possible for the Hepatitis B Core Antibody IGM test to come back reactive 10 days after an encounter or is this from an earlier encounter? Thank you so much for your help!
| Response from Dr. Dieterich
Yes it is possible, but it is also possible that you always had the antibodies or that the last test was wrong. You need a HBVDNA by PCR if it is negative, then you are fine. Just repeat in 3-6 months once. Good luck and stay safe! Maybe you should carry a condom! DTD
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