Acute Hepatitis B in a patient previously positive for antibody to surface antigen (anti-HBs) determined by radioimmunoassay: case report and review of the literature

The determination of anti-HBs as a screening test before vaccination has been advisable in order to encounter immune individuals that don't need to receive vaccine protection. A case-report is presented and three other cases are reviewed from the literature. Anti-HBs was positive in these health-care personnels that developped typical acute B hepatitis. Different subtyping involving the d/y determinants were found in the first case, but false-positive anti-HBs even with high titres, determined by RIA, were found in the other cases. Concomitant determination of anti-HBc or absence of screening tests seem to be more reasonable policies until a low-cost and risk-free vaccine is produced.

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Bibliographic Details
Main Authors: Strauss,Edna, Sáez-Alquézar,Amadeo, Takeda,Augusta, Silva,Luiz Caetano da
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 1985
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651985000500005
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