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Title

Study of occult hepatitis B virus infection among Indian patients with isolated hepatitis B core antibody

 

Authors

Akhilesh Tiwari, Nishat Khan*, Dharmendra Singh Rajput, Atul Shende & Manish Purohit

 

Affiliation

Department of Microbiology, M.G.M. Medical College, Indore, Madhya Pradesh, India; *Corresponding author

 

Email

Akhilesh Tiwari - E-mail: dr.akhilesh29@gmail.com
Nishat Khan - E-mail: drnishatgorie@yahoo.com
Dharmendra Singh Rajput - E-mail: drdsr22@gmail.com
Atul Shende - E-mail: dratulshende@yahoo.co.in
Manish Purohit - E-mail: manishpurohit75@gmail.com

 

Article Type

Research Article

 

Date

Received September 1, 2026; Revised September 30, 2026; Accepted September 30, 2026, Published September 30, 2026

 

Abstract

Occult Hepatitis B virus (HBV) infection (OBI) is characterized by the presence of HBV DNA in individuals who are negative for hepatitis B surface antigen (HBsAg), making its detection challenging using routine serological methods. Therefore, it is of interest to determine the prevalence of OBI among Anti-HBc positive, HBsAg-negative patients with suspected viral hepatitis in a tertiary care hospital setting. Hence, a total of 362 HBsAg-negative patients from high-risk groups were included in the study. Among them, 102 (28.2%) were Anti-HBc positive, indicating prior exposure to HBV. Molecular analysis using PCR revealed that 9 out of 362 patients (2.48%) had detectable HBV DNA, confirming occult infection. Thus, early identification of OBI is crucial to prevent transmission and reduce long-term complications such as liver cirrhosis and hepatocellular carcinoma.

 

Keywords

Occult Hepatitis B Infection (OBI), Hepatitis B Virus (HBV), Anti-HBc, HBsAg Negative, HBV DNA, viral load, ELISA, PCR, Hepatitis C Virus (HCV), Co-infection, Isolated Anti-HBc, surrogate markers

 

Citation

Tiwari et al. Bioinformation 22(9): 5517-5521 (2026)

 

Edited by

Vini Mehta

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.