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Avatar universal

anti-hbsag = 565.89, am i infected?

Sorry if i do not write correctly my question english is not my first languaje but unfortuntly i did not find hepa b forum in spanish. Im waiting for hb adn results, my surface antibody results (anti-hbsag) were  565.89 I got the hvb vaccine 13 years ago and i do not have any simptoms. Having these levels of antibidoes, can be possibly that the surfase antigen (hbsag) will positive and if it is possibly what will be the    diagnosis of this results?
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422881 tn?1257603579
Glad to hear that your HBsAg is negative. From what I can tell, all of your results look GREAT...except for the DNA being positive.This makes me wonder if the DNA test was a "False Positive".

You may want to have them re-test the HBV DNA...especially since there seems to have been some other mix ups with the lab.

False Positive don't happen often, but they can and do happen. Hopefully this is the case with your test and a second test comes back negative.

Thanks for your prayers and I wish you and your wife all the best.

Let us know if you find out anything else about the DNA test.
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Avatar universal
Today we got the hbsag and hbeag both were NEGATIVE, this results as i know  my wife is not infected with hep b. Still are concerned why pcr for hep b was positive? Any clue?

You do not know how my wife and I want to thank you for all your comments please be sure that I will be prying for all of you and your families.
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Avatar universal
Thanks a lot for you comments, we are prying every day, our kids need us and we would like to live a long long life.

Are you taking medicines for your chronic hep b? since when? Are you getting better ?

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181575 tn?1250198786
I saw that HR answered your other post.  Testing the HBsAg would clear things up alot.

In the unlikely event that her HBsAg is also positive and has chronic HepB, it's the norm not have any symptoms.  Most of us, chronic heppers don't experience any symtpoms.  Many individuals with chronic HepB never know it and live long full lives.  Of course knowing give you a chance to take better care of yourself and further improve your odds of living a full long life.
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Avatar universal
I just read yesterday an article indicating that after vaccine a very little hep b virus will be present all time coexisting with high levels of antibodies and article said that is common to happen a positive Pcr in vaacined people, the argument is because at the end vaccine shots are very little virus qtys.

Being pcr test so accurate very little virus can be detected, and normal test for surface antigen could be negative

But additional test should be performed, like anti-hbc, hbeag, hbsag and having this results the quantitative pcr should be performed.

My big concern is if she will be hep b positive and assuming she is chronic why she doesn't had any symptom in 45 years and liver and other levels are ok?
  
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181575 tn?1250198786
NashPred pointed your post to me and asked if I had anything to add from my experience.  I also notice you posted to HR, keep your eye for his response since he is THE expert.

From the labs so far, I agreed your wife's doctor that your wife have HepB.  It looks like her doctor ran the HepB DNA, QL, PCR which just tells you if the virus is detected in her blood.  In her case it was detected.  This QL PCR doesn't give the acutal numbers or viral load.  For the actual numbers, you need the quantitative PCR.

The confusion is because her HBsAb is also positive.  It is possible to be both HBsAb and HBsAg positive and be chronic infected.  There are many manifestation of HepB, and this is one of them.  I am sure about this because I am also positive for both.  I don't understand why your wife's doctor didn't test for the HBsAg.  Probably they assume since the HBsAb is positive, the HBsAg is negative.  That's what they assumed for me and they were wrong.  (I could have attended to my infection much earlier if they did the right thing.)  Even if your HBsAg is negative, as long as DNA is detected, the virus is there.  I think these are referred to as occult infections.  It could be that the HBsAg mutated somehow and shows as negative on the test but the virus is actively replicating.  In these case, the HBsAb as we know is pretty much useless.
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