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Positive for Hepatitis B during delivery. What are the future danger? - Online Doctor Chats

Date : 05-Jun-2013
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:Dr XXXXXXX here
User:Hello doctor
User:I have a question
Doctor:How can I help you?
User:3 months back, my wife had delivered a baby boy
User:At the time of delivery, we planned for preservation of cord blood
User:And they collected and cord blood is preserved
User:Recently we got the communication from the bank and they also included blood reports
User:everything is normal except in one letter they mentioned anti HBC came as reactive however HBSAg and XXXXXXX tests are non-reactive
User:I have gone through some websites but did not get any conclusive information
User:Around her third month of pregnancy also Hepatitis-B tests are done and came as negative
User:Can you please let me know if there is anything to worry?
User:are you there ?
Doctor:Let me brief you.
User:letter also says it can be false positive also
Doctor:Hbs ag which detects s antigens of hepatitis b is positive in acute infection
Doctor:it doesn't clearly rules out old chronic infections or carrier state.
Doctor:However on the other hand, anti HBc suggest chronic / carrier.
Doctor:As anti Hepatitis core (anti HBc antibody) test has come reactive, we need to look how reactive it is (whether it is false positive)
User:what about XXXXXXX tests?
User:thats also non reactive
Doctor:if the values are significant a complete study comprising of repeat Hbs Ag, Anti Hbs antibody, Hbe antigen and anti HBc antibody need to be done.
Doctor:In view of XXXXXXX test being negative, my only explanation is about false positive test.
Doctor:As a general physician my suggestions to you would be repeat all the tests - the whole profile under the guidance of gastroenterologist/hepatologist.
Doctor:You may also use the option of ask a specialist
Doctor:wherein you may post your query to a specialist
Doctor:for his/her opinion.
User:One question is can she continue feeding the baby?
Doctor:I think they may be able to give the latest suggestions.
User: XXXXXXX test results are always negative
Doctor:My only assumption is that the anti HBc antibody test may have shown false positive report - unless confirmed twice from a different laboratory.
Doctor:You could take the suggestion through ask a specialist option for more comments.
User:One question is can she continue feeding our baby?
Doctor:I believer you child is vaccinated with hepatitis vaccines.
Doctor:If yes, the chances that your child can get hepatitis through breast milk is very, very negligible.
User:Yes he got vaccinated
User:I have another question
Doctor:Further even if your child is not vaccinated, the chances of transmission of virus from a carrier through breast feed is very significant.
User:I read, the only way you can get Hepatitis is via blood transfusion or sex. she never get blood transfusion at all even during her pregnancy
Doctor:Hepatitis can spread through needle prick injuries too.
Doctor:I assume she had taken multiple injection in the past,
Doctor:There is a possibility of infection through those needle pricks.
Doctor:The real question is whether or not that anti Hepatitis C antibody is true positive or false positive.
User:We never tried used needles at all and also she never got injection prior to pregnancy
User:Only during pregnancy that is too all with new needles
Doctor: XXXXXXX XXXXXXX chronic or carrier mean the person has the virus in remnant state since long time - perhaps since many years, even from childhood.
User:What about me? Should I also get tested?
Doctor:So it would be difficult to predict from when or where she got the infection.
Doctor:Moreover in view of other test being negative, I am unable to comment if the reactive report is true or false.
User:hmm ok
Doctor:Hence my suggestion to take up a specialist advice through ask a specialist.
Doctor:The doctor should be able to comment whether or not to trust the result; go for further testing.
Doctor:You can also get your blood checked based on their suggestions.
Doctor:I apologize, my expertise are restricted in this field and hence could comment more about it.
Doctor:Hope that is ok.
User:thats fine
Doctor:Do you have any doubts?
User:nope thank you
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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