Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case Report

Acute HIV and acute hepatitis B coinfection is extremely rare. A 23-year-old homosexual man was admitted to our hospital with 5-day history of fever, malaise, and back pain with initial laboratory values showing severe transaminitis. The clinical picture was initially suggestive of acute viral hepat...

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Main Authors: Raghav Bansal, Maurice Policar, Chinar Mehta
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/820506
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author Raghav Bansal
Maurice Policar
Chinar Mehta
author_facet Raghav Bansal
Maurice Policar
Chinar Mehta
author_sort Raghav Bansal
collection DOAJ
description Acute HIV and acute hepatitis B coinfection is extremely rare. A 23-year-old homosexual man was admitted to our hospital with 5-day history of fever, malaise, and back pain with initial laboratory values showing severe transaminitis. The clinical picture was initially suggestive of acute viral hepatitis, which on further testing revealed acute hepatitis B and acute HIV coinfection. Although the patient was asymptomatic, a decision was made to start antiretroviral therapy. At 2-month followup, liver function tests were normal with undetectable viral loads. The early treatment of acute HIV/HBV coinfections likely contributed to eventual seroconversion with immunity to HBV in a severely immunocompromised host. To the best of our knowledge, this is the first case report of acute Hepatitis B and acute HIV coinfection and its management. In conclusion, early treatment of acute hepatitis B in immunocompromised patients may be beneficial.
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publishDate 2010-01-01
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series Case Reports in Medicine
spelling doaj-art-819d0341fc3847aba56200b96d488dc72025-08-20T02:08:27ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/820506820506Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case ReportRaghav Bansal0Maurice Policar1Chinar Mehta2Department of Medicine, Mount Sinai Elmhurst Hospital Center, 7901 Broadway, Elmhurst, NY 11373, USADivision of Infectious Diseases, Mount Sinai Elmhurst Hospital Center, 7901 Broadway, Elmhurst, NY 11373, USADepartment of Gastroenterology, Mount Sinai Elmhurst Hospital Center, 7901 Broadway, Elmhurst, NY 11373, USAAcute HIV and acute hepatitis B coinfection is extremely rare. A 23-year-old homosexual man was admitted to our hospital with 5-day history of fever, malaise, and back pain with initial laboratory values showing severe transaminitis. The clinical picture was initially suggestive of acute viral hepatitis, which on further testing revealed acute hepatitis B and acute HIV coinfection. Although the patient was asymptomatic, a decision was made to start antiretroviral therapy. At 2-month followup, liver function tests were normal with undetectable viral loads. The early treatment of acute HIV/HBV coinfections likely contributed to eventual seroconversion with immunity to HBV in a severely immunocompromised host. To the best of our knowledge, this is the first case report of acute Hepatitis B and acute HIV coinfection and its management. In conclusion, early treatment of acute hepatitis B in immunocompromised patients may be beneficial.http://dx.doi.org/10.1155/2010/820506
spellingShingle Raghav Bansal
Maurice Policar
Chinar Mehta
Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case Report
Case Reports in Medicine
title Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case Report
title_full Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case Report
title_fullStr Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case Report
title_full_unstemmed Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case Report
title_short Acute Hepatitis B and Acute HIV Coinfection in an Adult Patient: A Rare Case Report
title_sort acute hepatitis b and acute hiv coinfection in an adult patient a rare case report
url http://dx.doi.org/10.1155/2010/820506
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