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rash after needle stick
Nov 26, 2007

I received a needlestick from a 22gauge needle from an iv catheter small stick to finger. The patient had a history of Hep B and a Hx of methamphetamine abuse. I was started on Combivar and sustina (sp) until the pt tested Hiv - 2 days later. She also tested + for hep c antibody and + hep b antibody but - for hep b antigen. I have developed a rash on my chest back neck and to a lesser degree on my arms and buttocks. I took a zytec yesterday and the rash is looking better today. I have no other symptoms no itch no fever no lymphadenopathy no sore throat. It has been only 10 days since the needlestick. Could this be related to Hep c or possibly the meds I took. I have no other health hx. Can a rash develope this soon after hep c exposure? Your comments would be appreciated.

Response from Dr. Wohl

I suspect a rash can be part of acute HCV. But, it also could have been from the few days of Sustiva. I am sure you will have testing done to see if there is any evidence of acute HCV. As you know, medications are not given to prevent HCV infection after exposure. Rather infection is looked for early and if detected, treatment is initiated and seems to be successful in many cases.


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