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Kaplan Qbank USMLE



Author2 Posts
  #1

The term "healthy carrier" seems somewhat confusing...


Does it simply mean

chronic hepatitis w/o symptoms, or LFT abnormality (quiescent state...?)


(But that is not exactly "healthy" becuz he/she will might go through FLARE, or get HCC eventually...isnt it?)



or does it imply some other condition?

Say... a state where all serology is normal, except for HBsAg (+) only....
no risk of HCC .... just mere "keeping" of virus, transmitting to others...

I think this fits more correctly to the definition of "heathy carrier"...
(although i am not sure if that is a possible natural course...)

Thank u in advance...

  #2

HBsAg==>acute dis.persistent disease depending on other serological markers

and HBeAg ===>active(symptoms plus infectivity due to rappid mulptiplication of virion)

so if someoen is

HBsAg+ n HBeAg +===>acute and active

so like wise if someone just HBsAg+ but HBeAg - ===>acute but not active==>healthy carrier

chronic if HBsAg + for > 6 months.

hope it helps u.


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