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A 29-year-old male asked:

Hbsag & hav igm (elisa)= +, hev igm, leptospiral igm, anti hcv & hb core igm (elisa)=-, sgot & sgpt were 2332, 4874 initially.now 52.9 & 186.1 my status?

2 doctor answers4 doctors weighed in
Dr. Camilla Graham
Internal Medicine - Infectious Disease 29 years experience
Acute hepatitis A: These data are difficult to follow, but i think these labs mean the following: you have chronic hepatitis b (hbsag+) and got acute hepatitis a on top of that. Your liver enzymes are now returning to normal. If this is true, you will not get hepatitis a again, but need evaluation for hepatitis b.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Vivek Huilgol
Gastroenterology 37 years experience
B status unclear but this explanation IS the most likely one.
Sep 15, 2013
Dr. Vivek Huilgol
Gastroenterology 37 years experience
Acute Hep A. B ?: Need more tests to clarify. It appears you have acute (short-term) hepatitis a - this is transmitted usually through infected food. Hep b status positive but can't tell if acute or chronic. Need hep b core antibody status (igm and igg); hepatitis b surface antibody as a minimum; then hep b e antigen and hep b e antibody and hbv dna status to have final answer. Should check hiv, hcv and others too.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Liawaty Ho
Dr. Liawaty Ho commented
Hematology and Oncology 25 years experience
The HCV is negative. The HB core IgM is negative . Have you been vaccinated before for hepatitis B. if you never had vaccinated then likely you had this hep B surface antigen from a real infection.
Sep 15, 2013
Last updated May 7, 2016

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