Chronic Hepatitis C case | World Immunization Week

A 34-year-old male came with reports showing persistently elevated alanine aminotransferase levels and positive antibodies to hepatitis C virus and HCV RNA, supporting a diagnosis of chronic hepatitis C. No history of blood transfusion neither work in a health care occupation. No family history of HCV. He had Community acquired pneumonia that responded to a course of azithromycin. During that illness and evaluation, ALT was elevated (100 IU/L; normal <30 IU/L). Over the next 6 months, ALT levels remained elevated, aspartate aminotransferase (AST) was elevated to a lesser extent, and other liver chemistries were normal. He remained asymptomatic during the following 6-month period. Serologic studies were negative for HBV surface antigen, HBV surface and core antibodies, HAV antibodies, and HIV antibodies. What should be the management for this case?

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* Antiviral Check and ASSESS Viral Load. Needs further investigation and evaluation to conclude. TILL reports complied. Symptomatic treatment.
Thanks Dr kute Ankush
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NEED'S.. * VIRAL LOAD TEST..USEFUL IN DIAGNOSIS AND GUIDELINES FOR TREATMENT OF CHOICE.. * ANTIVIRALS ..
Tnx Dr Shivraj Agarwal sir
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Yes antivirals Hepatocellular regeneratives Rest supportive treatment Check viral loads
Thanx dr Kute Ankush
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Antiviral drug sofosbuvir400 mg ribavirin 12 to week
16 week
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Start antivirals Give for 16 week Check viral load
NICE UPDATE
Hepatitis C is silent in nature and raised serum bilirubin and SGOT,SGPT remain raised even after the symptoms subsides. I want to share the efficacy of the simple combination for further evaluation. Tab. Arogyavardhani250 mg Extract aqueous or other of the following Bhuiamalki Chirayta Kalmegh Kutki all these herbs have very good results in regeneration of hepatic paranchyma.
Give symptomatic treatment Post convalescent vaccination
Good update

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