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Doctor insights on: Hcv Genotype 4

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Results: Hep C quant. : 2,802,680 HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Results: Hep C quant. : 2,802,680 
HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Hepatitis C virus: Sometimes it's not possible to determine the genotype of this virus, which thus makes the expected response to treatment more uncertain. This is a 'slippery virus' -there are 11 major genotypes (designated 1-11), and many subtypes (a, b, c, etc.) A hepatologist (GI subspecialist) or an ID doctor who works with Hep C patients can help you. You'll need an established relationship for treatment... ...Read more

Dr. Camilla Graham
774 doctors shared insights

Hepatitis C (Definition)

An infection caused by the hepatitis C virus that attacks the liver and ...Read more


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05/05/2016 Siemens Advia Centaur hep C antibody result positive.08/10/2016 Abbott Architect (cmia) hep C antibody result negative.Who is telling truth?

05/05/2016 Siemens Advia Centaur hep C antibody result positive.08/10/2016 Abbott Architect (cmia) hep C antibody result negative.Who is telling truth?

It's not really: a question of truth telling. No test is perfect: the proteins and reactants used in each test will respond to an individual's blood/biologic material, potentially, in a different way. Falsely positive or falsely negative results are not very unusual. You need to decide on a confirmatory strategy with your doctor. Retesting is necessary and an expert can help you weigh the evidence to decide result ...Read more

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I'm hebs ag negative with a high anti hbs antibody from vaccination. This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

I'm hebs ag negative with a high anti hbs antibody from vaccination.  This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

Yes: That sounds like lab error. Your hbsab would provide immunity; i'm assuming yoru hbcab (core) is negative; i wouldn't worry, talk to your doctor about a retest if you are concerned, but even if you were infected, there is no reason for treatment at this time. ...Read more

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Stage 4 non hodgkin's lymphoma 10 year survival rate?

Stage 4 non hodgkin's lymphoma 10 year survival rate?

Still good prognosis: Survival rates for nhl vary widely, depending on the lymphoma type, stage, age of the patient, and other variables. The overall 5-year relative survival rate for patients with non-hodgkin’s lymphoma is 63% and the 10-year relative survival rate is 51%. All the best, hk. ...Read more

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HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

The vaccine worked: Lab tests aren't perfect and sometimes can be wrong. Or maybe the negative result was from the wrong kind of test. Vaccination makes hepatitis B surface antibody (HBsAb) positive. Tests for surface antigen (HBsAg) or core antibody (HBcAb) remain negative. Most important, you can be sure you are immune and protected by the vaccine -- so no worries. ...Read more

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Oral sex with unknown, continuous 5month low grade fever, lymph nodes, sore throat, 107 da HIV eia negative HIV PCR RNA not detected, what other std?

Oral sex with unknown, continuous 5month low grade fever, lymph nodes, sore throat, 107 da HIV eia negative HIV PCR RNA not detected, what other std?

NOT STD: As you have been told this is not an STD. But, it could be an infectious disease. That list is hundreds of possibilities long and will include testing for lymphoma, leukemia, other blood cell cancers, and all of the possible non-STD infectious diseases. It is time to sign off of the internet and to see your doctor for the appropriate testing or infectious disease consultation. ...Read more

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Non hodgkin's lymphoma stage 4 life expectancy?

Non hodgkin's lymphoma stage 4 life expectancy?

Depends...: ....On the "flavor" of the lymphoma. Patients with stage IV low grade lymphomas may do well for years without treatment whereas a stage IV aggressive lymphoma has a more variable course. ...Read more

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I'm a hept b carrier. Recent blood test shows hbe ag reactive. What does it mean?

I'm a hept b carrier. 
Recent blood test shows hbe ag reactive. 
What does it mean?

You are infecitous: Having the "e" antigen on board in your blood is a marker that your blood is especially dangerous to others. This is true of some other body fluids as well. Make your decisions accordingly, be responsible, take medicines if your physician suggests it, and perhaps someday we will have a way to cure this. ...Read more

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For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

Mild anemia: Assuming you've had no recent bleeding episodes, these findings could be seen in mild/early anemia of chronic disease. Hgb and Hct are only boarder line low, and iron panel appears within the reference range. Even something as simple as a particularly heavy period could cause mild anemia of this type, though. If you have a chronic medical illness, it could cause this type of anemia. ...Read more

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Stage 4 lung cancer with bloody stool?

Stage 4 lung  cancer with bloody  stool?

See your doctor.: Usually for stage IV lung ca, you will get chemotherapy. This can lower resistance to infection, including in the colon which could result in rectal bleeding. Rarely, lung cancer can spread to the bowel causing bleeding. See you m doctor/medical oncologist right away! ...Read more

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Can u get hep c or HIV from sharing drink bottle and is hep c curable?

Can u get hep c or HIV from sharing drink bottle and is hep c curable?

Family practice : Hep c and HIV is not contacted from sharing glasses. Needs blood or body secretion exposure. Hep c is treated by interferon injections which is 50 percent effective. Hiv has no cure. You may take a combination of medications which can suppress it. ...Read more

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+ Antimitochondrial M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

+ Antimitochondrial  M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

No: The diagnosis of PBC is made through liver biopsy. The other best tool is the biliruben. Taken together they give a diagnosis and prognosis for survival. As you know PBC is though to be an auto immune disease. ...Read more

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My blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1

e.R. Said hepatitis?

Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more

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Blood: creatinine 1.80; GFR 41. Follow-up labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Blood: creatinine 1.80; GFR 41. Follow-up  labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Kidney down briefly?: Both are a bit high for a man in his mid-40s especially if your bodybuilding days are over. Might you have been recovering from a subclinical bout of Ibuprofen nephropathy? It's very common and causes partial renal shutdown. Drink plenty of water if you use nsaids nad consider a follow at your next regular appointment. ...Read more

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Testing for HBsAg can give false positive after vaccination. Is it the case with Hepatitis B PCR also? Does vaccination affect DNA PCR result also?

Hepatitis B antigens: Positive hepatitis B antigens found in the blood are sign of infection, but antibodies to the antigens are signs of protection. Other antibodies are found in the beginnig of the infection. The vaccination is very good, but someindividual might not respond or might need repeat vaccination. ...Read more