The patient encountered by the nurse is suffering from HCV infection. He has been diagnosed with acute HCV infection 2 months back. Patient is an alcohol addict and remained convinced that it will not affect his condition.
Discussion
Hepatitis C
Hepatitis C virus is a blood borne virus and spreads through blood contact. The population that is at high risk of developing Hepatitis C infection includes (Chak, 2011)
Blood transfusions before 1990
IV drug users
Intranasal cocaine users
Health care workers
Chronic haemodialysis patients
Hepatitis C mothers giving birth
Body piercing or tattoos carriers
People engaged in high-risk sexual activity
Veterans
Hepatitis C carriers as Alcohol Users
Around 1/5th of all the hepatitis C deaths have been caused by the excessive alcohol use. Alcohol being a toxic metabolite is detoxified by the liver. The liver of a HCV patient is already weak and infected. When this liver is forced to detoxify a very large amount of alcohol, its cells start getting damaged and eventually they die. This condition can cause liver cirrhosis, fatty liver deposition and even liver failure (Wise, 2008). According to the studies, there have been found clinical evidences that prove the alcohol consumption is responsible for increases in the HCV replication. This modulates the host response (World J Gastroenterol, 2010)
Signs and Symptoms
The common side effects include the following (John, S.M.T., MD, 2008)
Flu like symptoms
Myalgia (muscular pain)
Chills and night seats
Loss of appetite
Weakness
Abdominal pain
The acute infection can result from exposure to the Hepatitis C virus. The progression is usually asymptomatic. Around 85% patients suffering from acute hepatitis C infection develops chronic HCV infection. These patients, in severe cases, develop liver cirrhosis (Department of Health & Human Services, 2010). According to an estimate, 3.2 million Americans have chronic hepatitis C infection and around 12,000 die every day due to exacerbation of the liver conditions. ...