May 1988 : Tubectomy
Nov 2003 : Hysterectomy (removal of uterus due to fibroid problem) Ovaries not
removed
Nov 2004 : To Know how she is recovering from post surgery we on our own undergone
Master Health Checkup at Apollo Hyderbad. Due to high SGPT & SGOT
Levels the Doctor advised her to undergo Anti HCV Test.
The HCV Quantitative RT-PCR TEST result indicated positive.
Undergone Genome test. Identified as Genotype 3A which indicates
Probable 100% cure after treatment.
20.11.2004 Undergone liver biopsy before commencement of treatment.
Impression Chronic hepatitis in HCV + person. Activity3/18 Staging 1/6.
Dec 2004 – : 24 weeks anti HCV treatment undergone at Asian Institute of Gastro
May 2005 : Enterolgy, Hyderbad .
Inerferon injections at weekly intervals for 24 weeks.
10.03.2005: Mid term review of treatment . HCV Quantitative RT-PCR test report
Shown Virus less than detectable levels.
June 2005 HCV Quantitative RT-PCR test shown Virus less than detectable levels.
During the above treatment period CBP, LFT tests are conducted at periodical intervals and the results are within ranges. The doctor advised her to undergo HCV quantitative RT-PCR test at half yearly intervals as follow up process.
17.12.2008 : HCV Quantitative RT-PCR Test Virus count 1,78,800. Identified as
Virus relapsed.
Jan 2006- :24 weeks treatment repeated at Asian Institute of Gastro Enterology (Hyd)
June 2006 : Peg Viraferon Inj once a week. Thymosin Alfa twice a week,
Rebettol 2tab per day.
30.08.2006 : HCV Quantitative RT-PCR Test Virus count less than detectable levels.
During the above treatment period ie Jan to June 2006, CBP, LFT tests are conducted at periodical intervals and the results SGPT, SGOT etc are within ranges.
APR 2007 : HCV Quantitative RT-PCR Test Virus count 1,29,900.
Before leaving Hyderabd for Chennai we met the doctor on the following days and the following tests are conducted.
25.02.2008 : LFT SGPT 84u/l (range 0- 40), SGOT 59u/l (range upto40)
Direct Bilirubin 0.3 (range upto 0.2)
CBP POLYMORPHS 85 (range 40-75), Lymphocytes 10(range 20-45)
ULTRASONOGRAPHY OF ABDOMEN(real time screening)
Conclusion : FATTY INFILTRATION OF LIVER NO FOCAL LESION
24.04.2008 QUANTITATIVE Real Time PCR:HCV RNA.
Sample is positive for HCV RNA and showing 417252 IU/ml
The virus has relapsed . What is the future course of action. Whether any new medicine has been developed for effective treatment. If we do not go for further treatment how long it will take to worsen