Abstract

Hepatitis C virus (HCV) infection becomes chronic in about 85 % of individuals as demonstrated by the persistence of HCV. It is necesseray to treat acute hepatitis C infection. Interferon-α is generally used for the treatment of acute HCV infection.A 55-year-old woman with a history of fatique and icter was diagnosed as acute hepatitis C virus infection. She was treated with interferon-α 2b 3 million unite sc three times in a week and ribavirin 1000 mg daily for 6 months. Within 2 weeks of therapy, the alanine aminotransferase (ALT) had became normal. At the end of the 3 months of therapy, HCV RNA was negative and remained negative 6 months after the end of interferon treatment (sustained response).This report suggests that interferon-α 2b and ribavirin may have a role in treatment of acute hepatitis C virus infection.

Highlights

  • Interferon-a 2b has been shown to be effective in the treatment of acute Hepatitis C virus (HCV) infection [1]

  • This report suggests that interferon-a 2b and ribavirin may have a role in treatment of acute hepatitis C virus infection

  • We report a case of response to interferon-a 2b and ribavirin treatment for acute hepatitis C

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Summary

Background

Interferon-a 2b has been shown to be effective in the treatment of acute Hepatitis C virus (HCV) infection [1]. We report a case of response to interferon-a 2b and ribavirin treatment for acute hepatitis C. There was no history of intravenous drug usage, blood transfusions, tattoos, travel or alchol intake Her medications included local corticosteroids for dermatologic lesions and oral antidiabetics for type 2 diabetes mellitus. The patient was tested for positive for anti-HAV IgG and negative for HBsAg, anti-HBc IgM, anti-HAV IgM, antiDelta, anti-HEV IgM and anti-HEV IgG. She was positive for antibodies to HCV by third generation ELISA. At the end of the 3 months of therapy HCV RNA was negative and remained negative 6 months after the end of interferon treatment (sustained response). Interferon in combination with ribavirin was well tolerated and there were no laboratory abnormalities

Discussion
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Di Bisceglie AM

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