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Hepatitis scare...illness still undiagnosed

Dear All,

My earlier post was in the HIV support forum. However I had my post 6 weeks ELISA antigen test which came back negative. HIV was n still is a scare for me.

My exposure was on 18th March 2007. Since then life has taken me for one hell of a rollercoster ride. On 27th I was diagnosed for some UTI..doc said either Gonorrhoea or Chlamydia based on the yellow discharge. I was on a Azithromycin and Doxycycline treatment and the discharge and burning sensation went away. But along came bad bowel movements..loose stool..greenish and proceeding to clay coloured with lot of mucus in it.

The local doc said, it must be some viral infection. Tested for HepA/B/C..all came back negative. Today the Mono and Syphillis also came negative. I no more have the clay coloured stools..but its still loose..I still have weakness...eyes/hands/feet have a burning sensation. Sometimes temperature reaches 37 degs...with chills.otherwise its between 36.2-36.8 degs. The latest ALT on 10th MAY 2007 was 116..earlier on 20th April 2007 it was 125. The AST is 33. I also experience slight pain in my lower abdomen. The Liver untrasound showed moderate to marked fatty liver. I dont drink much..only socially. I am arnd 15 kgs overweight thats wht the doc told me for fatty liver.

The specialist still shruggs off HIV/Hepatitis. Taking into consideration the ALT levels and the liver inflammation, I suspect a hepatitic disease.

The HepatitisB results:
HBsAg-
Patient's count: 73 cpm
Mean neg. control: 41 cpm
Cutoff value: 86 cpm
Remarks: Negative

Anti-HBs-
Patient's count: 136 cpm
Mean neg. control: 100 cpm
Cutoff value: 211 cpm
Remarks: Negative

The HepatitisA results:
Anti HAV IGG: 0.11
Negative Control: 1.99
Cutoff Value: 1.00
Remarks: Reactive

Anti HAV IGM:
Patient's count: 85 cpm
Mean neg. control: 50 cpm
Cutoff value: 105 cpm
Remarks: Negative

My concerns:

Due to the high level of HBsAg which is close to cutoff value, is it that I am developing Hepatitis B??

What exactly does this HBsAg count mean?...ideally should it be zero?

Also what would it mean by Anti HAV IGG being reactive?

Also would this be viral or drug induced(UTI treatment) hepatitis? If yes, then would i still feel weak and experience chills?

If anyone has experienced this or has a hint of whats going on, please suggest.

Btw sorry for the long post, had to put in all info. Also my work life is hell strenous, being in the telecom field im workbound almost 15-16 hrs.

Thanks a lot for all your assistance.
3 Responses
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Avatar universal
Sounds like a Fitz-Hugh-Curtis syndrome (a chlamydia associated hepatitis) with a reactive enteritis to me.  The negative viral serology (thus far) is reassuring; likely you are immune to HBV, and the HAV testing just means you have had past exposure (and are now immune) to HAV.  You need to be retested for HCV/HIV 6 months after the exposure but otherwise, most likely, the problem will resolve. Fitz-Hugh-Curtis syndrome can cause fairly persistent abnormalities of the LFTs, but the Azithromycin is likely to be curative.
Practice safe sex. Frequently.
SonicBandAid
Helpful - 0
Avatar universal
Thanks for ur feedback willows.

Yes i do understand ur perspective...yes, I will be seeing a liver specialist as soon as i land home..prolly in few days...its just anxiety n curiosity thts killin me for now.
Helpful - 0
137025 tn?1217764741
Most of us here have Hepatitis C and I wouldn't even know where to begin to answer your questions.  We pay so much money to doctors, I think I would find a really good one and just print your post here to take along to make sure he doesn't miss any descriptions of your symptoms.  Writing down questions can be very helpful.

WIllow
Helpful - 0
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