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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
           
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Hep B test results
Nov 27, 2004

Dear Dr.

My wife is a 29-year-old Asian female. She received the Hep B vaccine; her 3rd shot was administered on 1/11/02. She has recently tested positive for Hep B. Here are her test results; First Test Results received on 10/12/04: HBsAg +, Anti-HBc -. Second Test Results received on 11/19/04: HBsAg +, Hep B Core Ab, tot +, Hep B surface Ab <3.0 mIU/mL,ALT(SGPT) = 20. Hep A AB, Total +, All Hep C -, All HIV -.

I am her husband, I was tested today and all my Hep results were negative. I was vaccinated for Hep B early 2001. My wife is scheduled to see a specialist the first week of December. Please explain what these tests mean and what is the best course of action for us to take.

Sincerely,

David

Response from Dr. McGovern

It sounds like your wife may be a chronic carrier but that can only be determined over time (6 months) to be certain that the hepatitis B infection wasn't acquired recently. I suspect she will be diagnosed with chronic infection and the next step is to see if she carries the hepatitis B virus in her blood, find out her e antigen status and to follow her liver function tests over time.

Dr. McGovern



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