Table 1: Summary of patient data and test results.
Patient: Female first-year student nurse, aged 48 | |
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Month 1 | First hepatitis A/B vaccine dose administered |
Month 2 | Second hepatitis A/B vaccine dose administered |
Month 3 |
First examination (GP setting), yielding:
1) Clinical symptoms: General fatigue. 2) Elevated liver enzyme values (AST, ALT, GGT, and ALP). 3) HAV, HBV, and HCV serology: Anti-HAV IgM and Anti-HAV IgG: Positive; HBsAg: Negative; Anti-HBs: 302 IU/l; Anti-HBc and Anti-HCV: Negative. |
Month 6 |
Second examination (occupational medicine setting), yielding: 1) Clinical symptoms: Resolved. 2) Normal liver enzyme values (AST, ALT, GGT, and ALP). 3) HAV, HBV, and HCV serology: Anti-HAV IgM: Negative; Anti-HAV IgG: Positive; HBsAg: Negative; Anti-HBs: 505 IU/l; Anti-HBc and Anti-HCV: Negative. 4) HEV serology: Anti-HEV IgM and Anti-HEV IgG: Positive. |
Month 6 | Third hepatitis A/B vaccine dose administered |