© The Author 2005. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
Correspondence |
Treatment of hepatitis B and C co-infection in schizoaffective disorder
| The first 10% of the full text of this article appears below. |
Sir,
Hepatitis B (HBV) and hepatitis C (HCV) are chronic viral liver infections representing a substantial health burden in the US and elsewhere.1 The impetus to push the treatment envelope results in treatment of a patient group with co-morbid serious psychiatric illness that amplifies treatment challenges. We describe a HBV/HCV co-infected patient with cirrhosis and psychotic illness.
A 39-year-old man was evaluated for cirrhosis and co-infection with HBV/HCV. The patient's other medical problems included prevailing psychiatric diagnoses of schizoaffective disorder and bipolar II disorder. He also had a history of substance abuse. Family history was significant for
Division of Gastroenterology and Hepatology Department of Internal Medicine
Department of Psychiatry and Behavioral Sciences University of California Davis Medical Center Sacramento USA email: lrossaro@ucdavis.edu