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Published on: September 25, 2019
A Case of S-Variant Hepatitis B Virus: An Immune System Escape Artist
Amar S Shah1, Valerie F Civelli1, Varun Bali1
1UCLA at Kern Medical Center, Bakersfield, CA, USA.
Abstract:
Genomic variants of the hepatitis B virus (HBV) preS/S protein are well-known to occur. Typically, immunity is gained through recovered HBV infection or by immunization. Very rarely, there are certain mutations that may enable HBV escape from the immune detection. PreS/S mutants may present with unpredictable pathobiologic, clinical, and transmittable implications. Standard laboratory testing for genomic HBV variants is not routinely performed by reference guidelines. s-variant HBV management remains challenging. Herein is a case of s-variant chronic HBV infection in a 55-year-old man. Diagnosis and treatment are described.
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