dr.shar
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An 18-year-old Caucasian male presented with a one-week history of low-grade fever, fatigue, abdominal pain and vomiting. A day prior to presentation he became jaundiced. There was no history of exposure to hepatitis, but he was sexually active and reported IV drug use within the prior 6 months. His bilirubin and liver enzymes were elevated, suggesting inflammation of the liver. Hepatitis B surface antigen (HbsAg) test was positive and tests for the other forms of viral hepatitis were negative.
What instruction regarding infectivity of this patient is correct?
A A Hepatitis B e-antigen (HbeAg) test should be done and if negative he should be considered non-infectious.
B He is most likely a chronically infected by Hepatitis B virus and should be considered non-infectious as soon as the bilirubin and liver enzyme values have normalized
C His illness is most likely due to Hepatitis B virus and he should be considered infectious (through blood and sexual contact) until HBsAg becomes negative and Hepatitis B surface antibody (anti-Hbs) becomes positive
D To avoid fecal-oral transmission to other individuals he should not be allowed to prepare food for others
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| asmi
Forum Hero
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C..
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| dr.shar
Forum Elite
Topics: 38
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cute asmi, you are correct
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