and Super-Infections of Viral Hepatitis
When a patient with one type of viral hepatitis is infected with different
type of hepatitis virus at a later time, it is called a super-infection.
(An HCV patient who later acquires HAV for example)
two different types of hepatitis viruses infect the patient at the same
time, it is called a co-infection. (A patient that is infected with HCV
and HBV for example)
or super-infections with a non-hepatitis virus are also possible, and for
HIV population, it is quite common due to the similarities of the
infection route. (About 40% of patients with HIV are co-infected with HCV.)
For these conditions, the clinical symptoms and disease courses are
usually more complex and serious than a single viral infection case.
super or co-infections can make the disease more severe and its
progression faster, there is also the possibility that one of the agents,
such as HCV, could help promote the clearings of the other virus, such as
HBV, from the body. HCV could also take over the position of HBV and
become the major virus to cause persistent chronic infection.
HCV and HBV co-infection is quite common, because they have the same
transmission route. The co-infection rate of these two viruses is about 15
to 28%, depending on the regions among chronic hepatitis C patients.
Clinically, the co-infection could have more severe symptoms, faster
progression, and a higher rate of fulminant hepatitis occurrence.
HAV is usually contracted from contaminated food and water. Thus, it is
often a super-infection for patients with chronic HCV or HBV infections.
This super-infection can cause prolonged jaundice and ALT elevation and
can also trigger inflammation activities of chronic HCV or HBV.
To prevent super-infections, it is highly recommended for chronic
hepatitis C patients without antibodies for HBV and HAV to have those
vaccinations done. Chronic hepatitis B and C patients should also avoid
eating uncooked foods such as raw seafood and meats.
Chinese herbal treatment for co-infections of HCV and HBV is essentially
the same protocol because the goal is to control liver inflammation. As
such, most of the herbal treatment protocols used for treating HCV
infection were borrowed from the treatments of HBV infections. The same
principles are also applicable to the super-infection of HAV in HCV and
HBV patients. Our treatment is designed to protect liver cell damage,
enhance the body's immune response, and halt the progression of the
co-infection with HIV, the HIV HAART (highly active antiretroviral
therapy) treatments can be very harmful to the liver. After being treated
with HAART, I have seen many HIV HCV co-infection patients and their liver
enzyme level elevate, with obvious fat deposit in the abdomen and some
developing jaundice. In our herbal treatments for HIV, we use
Glycyrrhizin, which is also used for HCV and HBV infections. The other
herbal remedies used for anti-viral therapies are bitter melon (MC
Capsule) and olive leaf (Olivessence Capsule) extracts, and they are also
used in our HCV and HBV treatments.
have seen good results on measuring enzyme levels and symptoms with these
herbal protocols, with minimal or no side-effects on the patient.