Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
123 Doctors are Online

Exposed to Hep C. Report came with positive Hep B. How can it be possible?

User rating for this question
Very Good
Answered by

Practicing since : 1996
Answered : 1679 Questions
I have a patient who was exposed to a patient in XXXXXXX with Hep C. Everything was negative on his panel.
3 months out. He did not report for testing at six months. But we caught him in september. Everything was negative except he now has a positive HBeAg. which indicates viral replication and infectiousness His Hep series was repeated ending in August. He had a series in 2007. So why are all his other tests negative. This kid is on numerous drugs for
for psche issues and a poor historian. I brought the results to my physician and he said to retest him in three months. Is that common. I am just worried about him should we be doing more for him or is
it appropriate to see how it goes.
Posted Wed, 20 Feb 2013 in Infections
Answered by Dr. Ratnakar Kini 2 hours later
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.

Hep C is hepatitis C.
HBeAg is hepatitis B.

Can you just clarify whether he was exposed to a patient with hepatitis C or hepatitis B?

Dr.Ratnakar Kini
Above answer was peer-reviewed by
Follow-up: Exposed to Hep C. Report came with positive Hep B. How can it be possible? 22 hours later
He was exposed to Hep C those markers are all negative. However the
Hep B eAG was positive when he had follow up labs in September. He had
two complete series of Hep B one in 07 and this was repeated after his Hep
B surface antigen was negative on his post C exposure. I understand Hep Be AG
is positive if there is replication of Hep B virus. However I would expect some
changes in the Hep B panel if thats whats going on and that is the only abnormal
finding. It is an unusual situation. Should we be doing more than watch him for three months. He seems to be well.
Answered by Dr. Ratnakar Kini 8 hours later
Thanks for the additional information.

This could be a possible reactivation of Hepatitis B infection.
HBsAg may (re)appear.

HBV DNA and Anti HBc IgM and Total tests along with liver function test may be done for further evaluation.

I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.

Dr.Ratnakar Kini
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an Internal Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor