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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
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May 19, 2008

Dr. McGovern, Hello Dr. McGovern how are you? I wanted to ask your opinion on something you stated in the archives.

You stated in the archives that HEP C will delay HIV seroconversion. However, Dr. Bob of thebody says that it doesn't. Can you explain why you believe that HEP C delays HIV seroconversion????

Response from Dr. McGovern

It is actually not my personal opinion, but a recommendation by the Centers for Disease Control. If a person, for example, a health care worker (HCW), is exposed to a patient with both HIV and HCV and develops acute HCV infection, the HCW should have follow-up testing up to 12 months after the exposure. This was based on a case report of one patient in the New England Journal of Medicine in 1997 who was exposed to HIV/HCV simultaneously and took a long time to present with HCV and then even later with HIV.

As you can tell this is a rare event....

hepatitis B&D carrier
HIV and High LFTs

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