SOLVED2817

A 36-year-old woman turned to a doctor with complaints about general weakness, abdominal pain and icterus of the skin. These complaints have been gradually increasing over the past three months. The patient denies drug use and unprotected sex, chronic diseases. During the physical examination, it was revealed: icterus of the sclera and skin and pain during palpation of the right periosteum. During laboratory examination of blood serum, total bilirubin is 64.5 mml/l, direct – 22.7 mcmol/l, AST – 822 Units/l, ALT – 1237 units/l. HBsAg – positive, HBeAg – positive. What is the most appropriate treatment strategy for this patient? A. Hepatitis B vaccine and lamivudine B. Prednisone and ribavirin C. Normal human immunoglobulin D. PEG interferon α -2a
SCIENCE
HEALTH SCIENCE
NURSING

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