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Hepadnaviridae

Genus Orthohepadnavirus Virus Member Hepatitis B (HBV) Ground Squirrel Hepatitis B Woodchuck Hepatitis B Natural Host Humans, chimps, gibbons, wooly monkeys Ground squirrels, woodchucks, chipmunks Woodchucks Transmission Disease

IDU, sexual, blood, vertical


Sexual, blood Sexual, blood

ACS, hepatitis, cirrhosis, HCC


ACS, hepatitis, HCC ACS, hepatitis, HCC

Genus Avihepadnavirus Virus Member Duck Hepatitis B Heron Hepatitis B Natural Host Ducks, Geese Herons Transmission Predominantly vertical Predominantly vertical Disease ACS, hepatitis ACS, hepatitis

HBcAg

3,2Kb

ORFs

48% G-C

Genoma pequeo

Transcripcin
Ncleo, transformacin cccDNA
mRNAs con mismo sitio polyA

Factor nuclear hepatocito 1

GAPs y enzimas del hospedero

No integracin

200 de C : 1 P

Transferrina Asialoglicoproteina Endonexina

S M L

PolyA

17-25 nm Small 1013 x ml HBsAg Filamentos Tubular Formas virales HBsAg

Viral
42 nm Forma compleja Capside, Envoltura 1010 x ml S, M, L

Antigenicidad
MHC-I

Linfocitos T(CD8)

Diagnstico
Incubacin

Pre ictrico Fase ictrica

Recuperacin

Presence Presence Presence of HBsAg of Anti- of AntiHBs HBc Positive

Interpretation of Assay Results

Negative Negative These results are characteristic of early acute HBV infection.

Positive Positive or Positive These results suggest either acute or chronic HBV infection Negative which may be differentiated with respect to IgM anti-HBc.

Negative

Positive

Positive These results are characteristic of previous HBV infection and current immunity to the virus. Positive These results do not have a clear interpretation. They could be due to HBV infection in the remote past, low-level HBV infection, or false-positive/ non-specific reactions. If present, anti-HBs help validate anti-HBc reactivity.

Negative Negative

Negative Negative Negative These results suggest that liver toxicity is due to some other agent other than HBV. Negative Positive Negative These results are typical of a vaccinated individual.

Hepatitis Aguda

Deteccin en suero Ictricos Sntomas de gripe

Cirrosis

Ndulos Fibrosis Forma y funcionamiento normal

Hepatitis Fulminante

Psicosis o meningoencefalitis Coma Falla total hgado Protrombina

Infeccin crnica HVB

HCC

Sangre y fluidos
Desinfeccin Guantes Lavado de manos

Vacunacin
SHBs Engerix-B y Recombivax HB 0, 1, 6 meses

Inmuno profilaxis
Individuos no vacunados Contacto con virus

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