Hepatitis B and Hepatitis C

Chronic coinfection of HBV and HCV is well known and relatively common. Coinfection seems to be associated with reciprocal inhibition of each virus and low levels of viremia. In chronic HBV carriers, acute HCV infection tends to suppress HBV replication . Acute coinfection has led to chronic HCV infection in all previous cases. This is […]

Viral serology and liver chemistry confirmed acute coinfection with HBV and HCV (Figure 1 and Table 1). A complete blood count, electrolyte levels and tests of renal and liver synthetic function were normal. Screening tests for hemochromatosis, Wilson’s disease, alpha-1-antitrypsin deficiency and autoimmune disease were negative. An abdominal ultrasound was normal.

Acute coinfection of hepatitis B virus (HBV) and hepatitis C virus (HCV) is rare but more prevalent in intravenous drug abusers . The few previous cases all describe acute HBV followed by acute HCV, leading to HBV clearance but chronic HCV . We present a patient with acute coinfection of HBV and HCV, and subsequent […]