Can someone who is asymptomatic but positive for hepatitis B antigen transmit the disease?

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

I went through your reports (the attachments removed to protect the patient's identity). It seems you have hepatitis B infection which is in an active state as far as viral replication goes. But certain reports are concerning, like raised liver enzymes, raised erythrocyte sedimentation rate, raised globin levels, raised GGT (gamma-glutamyl transferase test), and raised platelet counts. There is ongoing immune activation and liver inflammation. So, I suggest you do a few tests mentioned below.

1. CRP (C-reactive protein) levels.

2. Ultrasound of the liver for fatty liver.

3. Tests for autoimmune hepatitis like ANA (antinuclear antibody test), AMA (antimitochondrial antibody test), and anti-smooth muscle antibody test.

Kindly follow up with the test results.

I hope this has helped you.

Thanks and regards.