ABSTRACT

Hepatitis A Hepatitıs B infections occur seldam together owing to the fact that the ir transmission routes and comman ages are different. Acute Hepatil A infection can develop asa superinfection in chronic hepatilis B and C patients. In this article, a case of acute viral hepatitis in which hepatitis A virus and hepatitis B virus serological markers were positive is presented.

Male patient who was thirty three years old applied w ith jaundice, dark urine, anorexia, malaise, clay-colored, stool. Ther was no pathologic sign except from jaundice in the physical examination. Liver enzymes were elevated 60 times, prothrombin time was prolonged and total bilirubin was 15 mg/dl. HBs Ag, anti-HA V !gM, anti-HBc !gM and antiBBc lgG were positive. Results were proved positive again when they were re-determined in the Reference l..aboratory and ours. Liver enzymes, bilirubin level did not become higher and coagulation tesıs did not become prolonged at the hospitalization period. In fallaw-up total bilirubin, direct bilirubin and prothrombin time drew back to normal ran ge in the first month and so did AST, ALT, ALP, GGT levels in second month. Romatoid factor and anti-nuclear antibody were negative. In conclusion, our case, in which hepatitis A virus and hepatitis B virus serological markers were positive, did not differ from other hepatiris A or B cases ın elinical and biochemical aspect.