Acute hepatitis with Positive Hepatitis A virus IgM and Positive HBsAg
 
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Author: Pediatric Oncall
Question
A 9 1/ 2 years old boy was diagnosed to have acute hepatitis. The referring pediatrician had done Hepatitis A virus {HAV} IgM which was positive. HBsAg which was also positive. Mother was also HBsAg positive though father was negative. Hepatitis B viral load in the child was 75 copies, ml and HbeAg was negative. The child`s liver function tests normalized in 1 month of the acute episode. HIV, Hepatitis C markers were negative and on presentation, he had a soft palpable liver. Other systems were normal. Ultrasound abdomen did not show coarse echotexture of liver.
Expert Opinion :
The child`s acute episode of hepatitis could be due to Hepatitis A virus. Hepatitis B could have been vertically acquired from the mother or could be a horizontal transmission. It would be best to do a repeat HBs Ag after 6 months and see if it has disappeared. If it is negative, it suggests resolved Hepatitis B infection. If it is still positive, it suggests chronic Hepatitis B that would require a long term follow up.
Answer Discussion :
D
dawn gnes
bubble
hepatitis a
1 month ago
O
Osama Ali
bubble
Acute hepatitis A
1 month ago

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