am I a chronic carrier
Apr 5, 2006
I had the hep b virus in august 2004 - had been hospitalized and all. Just recently had following test and their results: HBSAG-NON-REACTIVE HBSAB-NON-REACTIVE BCORE AB - REACTIVE DNA VIRAL LOAD OF 1.6 DOES THIS MEAN I WILL NOT BE ABLE TO PASS THE VIRUS ON TO ANYONE? OR DOES THIS MEAN I AM A CHRONIC CARRIER AND COULD PASS IT AT ANYTIME? PLEASE ADVISE I AM REALLY SCARED AND CONFUSED LIKE EVERYONE ELSE.
Response from Dr. McGovern
If your surface antigen is nonreactive, you are not a chronic carrier.
Your core positivity suggests past infection. However, since your surface antibody is negative, you have "isolated Hep B core antibody". This could mean past infection or even a false positive. If you are not currently having "hepatitis" with marked elevations of liver tests, I doubt this is acute hepatitis B ("core IgM").
I suspect your viral load may be "below" 1.6. I doubt you have viremia (virus in your blood) with a non-reactive surface antigen.
So most likely, if you have risk factors for exposure, you were infected in the past, but cleared the virus. If you have no risk factors, this could be a false positive.
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