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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
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Mar 7, 2008

Ever since we had a company medical exam I had no problem with the result. Just recently, HEPA screening test for our medical exam reveals REACTIVE. I was alarmed of the result and I decided to have a full panel HEPA B examination. The results are as follows:


Hepatitis B Full Panel

HBsAg w/Titer (ECLIA), 0.548, C.O.V. 1.000 NON-REACTIVE

Anti HBs (ECLIA), 2.000, C.O.V. 10.000 NON-REACTIVE

HBeAg (ECLIA), 0.109, C.O.V. 1.000 NON-REACTIVE

Anti HBe (ECLIA), 0.885, C.O.V. 1.000 REACTIVE

Anti HBc IgM (ECLIA), 0.043, C.O.V. 1.000 NON-REACTIVE

Anti HBc IgG (ECLIA), 0.013, C.O.V. 1.000 REACTIVE

NOTE: IMMUNOLOGY - Specimen rechecked. Result/s Verified.

AHBe & AHBc IgG count below the cut-off value is considered REACTIVE

The results bothers me esp. with some items with REACTIVE comments. Can you please help me figure this out. Do I need medication for the above to make it non reactive.

Thanks a lot.

Robert of Philippines

Response from Dr. McGovern

Your hepatitis B antibody tests do not fit together well. There is no clear diagnostic pattern that you fit into.

I suspect the isolated core and e antibodies may be false positives. However, it would be reasonable to check your HBV DNA levels to be certain you do not have virus in your blood.

Twinrix missed 3rd dosage
Why won't he begin treatment?

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