Immunocompromised patients with HBsAg a determinant mutants: comparison of HBsAg diagnostic assays.

نویسندگان

  • E Veropalumbo
  • A Marrone
  • L Vallefuoco
  • G Perruolo
  • R Orlando
  • F Scordino
  • G Tosone
  • R Zampino
  • B Trani
  • A Genovese
  • G Spadaro
  • C D'Orio
  • G Portella
چکیده

Hepatitis B surface antigen (HBsAg) is considered the best marker for the diagnosis of hepatitis B virus (HBV) infection. Mutations of the s gene involving amino acid substitutions within the a determinant could affect the sensitivity of diagnostic tests. In the present study, HBsAg mutants were detected in 3 immunocompromised patients, previously found to be HBsAg negative and anti-HBs positive. All patients had high levels of HBV-DNA, whereas HBsAg tests gave discordant results. Immunosuppression can cause viral reactivation of occult HBV infection in these patients and favour the selection of HBsAg a determinant mutants.

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عنوان ژورنال:
  • Intervirology

دوره 53 3  شماره 

صفحات  -

تاریخ انتشار 2010