Case of the Month - November 2015
A 35-year-old pregnant nurse who works on a general medical ward submits a letter to the hospital administration from her treating physician.
The letter states that ‘I have been treating this patient for four years, and she is a known carrier of hepatitis B virus. She should be withdrawn from all nursing duties that require direct contact with patients and should be redeployed appropriately’.
The nurse is 20 weeks pregnant; she is generally in good health, and has had an uneventful pregnancy to date.
She supplies a copy of a laboratory report with results of hepatitis A, B, and C virus investigations (performed two weeks prior) as well as evidence that Hepatitis B surface antigen was positive 8 months prior.The results are as follows:
|Hepatitis A IgG||Positive|
|Hepatitis B sAg (HBsAg)||Positive|
|Hepatitis B cIgM (Anti-HBc IgM)||Negative|
|Hepatitis B eAg (HBeAg)||Negative|
|Hepatitis B eAb (Anti-HBe)||Positive|
|Hepatitis B virus DNA* (HBV DNA)||Not detected|
|Hepatitis C Ab||Negative|