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Case 2

Gerry arrives at the clinic for the tests. He complains of malaise, nausea, and fullness in upper right quadrant, low-grade fever, and distaste for his morning coffee. Palpation reveals hepatomegaly. Upon further examination you notice Gerry has icterus and jaundice. Liver enzyme levels were elevated. See Gerry's History for HepB vaccination. The following tests were ordered and results recorded.

Test

Result

IgM and IgG for HAV

Both tests were negative

IgG for HCV

Negative

HBsAg

Positive

Anti-HBs

Negative

IgM for HBc

Positive

IgG for HBc

Negative

HBeAg

Positive

Anti-HBe

Negative

2 ELISA tests for HIV

Positive

Western Blot for HIV

Negative

 

Which of the following diagnoses is most appropriate for Gerry’s present condition?

    1. HIV negative and is immune to HBV infection
    2. HIV negative and has an acute HBV infection
    3. HIV negative and has a chronic HBV infection
    4. HIV positive and is immune to HBV infection
    5. HIV positive and has an acute HBV infection
    6. HIV positive and has a chronic HBV infection

 

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Site Last Revised 11/12/13
Neal Chamberlain, PhD. A. T. Still University of Health Sciences/Kirksville College of Osteopathic Medicine.

Take Care and Think Microbiologically!