English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Hepatitis B infection is associated with significant morbidity and mortality in Kidney Transplant Recipients (KTRs). The reported incidence of reactivation varies from 0%-6.5 %. We present a case of resolved hepatitis B infection with hepatitis B surface antibody (anti-HBs) titer of <100 IU/L who had reactivation of hepatitis B, five months after Kidney Transplant (KT). Case Presentation: A 54 year old male with end stage renal disease who had resolved hepatitis B infection underwent cadaveric renal transplant. Five months after KT, he presented with elevated Liver Function Tests (LFTs). Hepatitis B Virus (HBV) serology revealed active hepatitis B infection with a viral load of 1.5×106 IU/ml. Discussion: It was observed in different studies that patients with pre-transplant anti-HBs titer <100 IU/L had reactivation of hepatitis B after KT. Based on these observations, we encourage physicians to raise the anti-HBs titer to >100 IU/L prior to KT and maintaining at that level in post-transplant period. HBsAg Anti-HBs Anti-HBc HBeAg Negative Positive Positive Negative Anti-HBe Anti-HBs titer (IU/L) HBVDNA by PCR (IU/ml) LFTs Positive 16.4 Not detected Normal Table 1: Perioperative blood work. HBsAg: Hepatitis B Surface Antigen; Anti-HBs: Hepatitis B Surface Antibody; Anti-HBc: Hepatitis B Core total Antibody; HBeAg: Hepatitis B E-Antigen; Anti-HBe: Hepatitis B E-Antibody; HBV: Hepatitis B Virus; LFTs: Liver Function Tests. AST (IU/L) ALT (IU/L) ALP(IU/L) TB (mg/dl)

hsoa journal of gastroenterology and hepatology research

Role of Anti-Hbs Titer to Prevent Reactivation of Hepatitis B after Kidney Transplant in a Patient with Resolved Hepatitis B Infection: A Case Report and Review of Literature