Jala-Hepatitis

  I have one patient who was found to be HCV-RNA positive by RT-PCR. He is diabetic. On liver biopsy it was found that the patient is having chronic active hepatitis leading to cirrhosis. He was put on interferon therapy 3MIU TIW and Ribavirin 1g per day. In the mean time he got super infected with Hepatitis E virus. His bilirubin and serum alkalina phosphatase started raising while transaminases did not alter much. ERCP revealed no obstructive cause for increase in bil. and alp levels. Now IFN is stopped but Ribvirin is being continued.
  What should I do now for this patient? Inform me of your opinion at the earliest.

[HFHSM.D.-D.M.]

Dear Dr. Khundmiri:
I find your patient