Chronic or Acute?

Hello. I really need some help!. About 5 days ago I started to notice jaundice in my eyes so I did a lab study which showed almost 3000 ALT and 2500 AST, Bili 8.
After this I did a HEP A, B and C serology and I got:
Hep A and C negative but:
AgS HBV +, Anti-AgC HVB +. So I thought about an Acute Hepatitis due to B virus.
The confusing thing is that FIVE years ago I got a positive Anti-AgS twice in the same lab.
I don't know the amount of the AntiBody neither the presence or not of AgS HBV.  
For that time (five years ago) I had never had sexual contact with anybody or any parenteral contact, and hadn't been vaccined either, I would like you to help me answer the cause of this (Could it be a lab mistake? does this mean I'm a crhonc sick, or carrier?)
One month ago I had to vaccine myself beacuase of my job (just the first dose) and now I have all this (which is also unexplainable) In this moment my enzymes are rising higher and also the Bilirrub.
I got a new Anti-AgS and it's NEGATIVE.  I got a Anti-AgC IgM and it's very high (does this mean it's an ACUTE HepB Please tell me! Is there a high level of IgM in chronic re-activation???) I have a couple since two years ago and she's asymptomatic. I work in a hospital (Surgery) but don't remember any puncture or accident.  Can I be a carrier since 5 years ago with a Anti-AgS that dissapeared?. Could it be the vaccine the cause of my actual dissease?? Excuse my english (I'm spanish speaker) And I really apreciate your help. Claudio

[cuteus]

check this site, it was created for prospective adoptive parents, but it had such a comprehensive explanation, I bookmarked it:
http://www.comeunity.com/adoption/health/hepatitis/smith.html

Buena suerte a ti.

[harley dude]

Sorry for the break in, but I have a quick question, I've probably seen it posted a hundred times (but I've been fog bound for quite some time). When can you actually take a deep breath and say I'm finally cleared of this HCV, is it 6 months post tx, 1 year post tx ect. In my case geno type 2b treated 48 mnths pegasys + copegus, cleared 3 mnths, and 6mnths, do I still have to sweat it out for another 6 months. I was under the impression clear 6mnths post tx your cleared- correct me if I'm wrong - what are my chances of staying clear.- Thank's Harley Dude

[jonihs]

Congratulations, you're SVR. When I got my 6 month PCR, the Dr. worded the letter this way. PCR RNA is negative 6 months following end of treatment, indicating eradication of the Hep C virus!"  Love Joni

[harley dude]

Thank's Joni - That made my day. - Harley

[cuteus]

There is an abstract from the AASLD conference that might interest all of us interested in determining SVR:
http://hcvadvocate.org/news/reports/AASLD_2004/Posters_AASLD_2004.htm#A62

[doll face]

I have been told by my doctor that if your 6 month PCR comes back clear than you are considered cured. Congratulations !!!

[harley dude]

Cuteus, I couldn't find out any info on what you posted about the svr study, let us know what was said- I looked all over- just couldn't find it - Thank's - Harley Dude

[cuteus]

This is part of the abstract at the AASLD, Boston.

THREE MONTH HCV RNA BY PCR POST IFN AND RIBAVIRIN THERAPY FOR SUCCESSFULLY TREATED CHRONIC ACTIVE HEPATITIS C (HCV) CAN BE USED TO DETERMINE SUSTAINED VIROLOGICAL RESPONSE (SVR)

[harley dude]

Cuteus, Thank's for the reply, hope you have a good week- Harley