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Baseline differences observed in HBV-TB versus simple HBV patients receiving anti-tuberculosis treatment

Baseline differences observed in HBV-TB versus simple HBV patients receiving anti-tuberculosis treat…
Photo by CDC / Unsplash
Key Takeaway
Note baseline demographic and laboratory differences between HBV-TB and simple HBV patients in this retrospective cohort.

This retrospective cohort study evaluated 324 patients, comprising 162 with hepatitis B and tuberculosis co-infection and 162 with simple hepatitis B infection, at a hospital in Huizhou. The analysis focused on baseline characteristics and immune changes, including fluctuations of IFN-gamma, among patients receiving anti-tuberculosis treatment and preventive antiviral treatment. A subgroup of 25 patients underwent specific immunological analysis, while 36 patients were categorized into untreated or treated subgroups for comparison.

Comparative analysis of baseline data indicated that the hepatitis B and tuberculosis co-infection group had a higher proportion of males and elevated levels of white blood cells, neutrophils, monocytes, and platelets relative to the simple hepatitis B infection group. Conversely, levels of HBsAg, HBV DNA, ALT, AST, lymphocytes, and RBC were lower in the co-infection group. The study also noted that baseline data comparison showed these distinct differences between the two populations.

Safety data, adverse events, and tolerability were not reported in the available evidence. The study did not provide specific numerical effect sizes, p-values, or confidence intervals for the observed baseline differences. Limitations regarding the study phase, publication type, and follow-up duration were not reported. Consequently, the observed associations reflect baseline disparities rather than treatment effects, and clinical relevance regarding HBV reactivation or liver injury remains uncertain based on this data alone.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
ObjectiveTo explore the immune changes caused by anti-tuberculosis treatment, especially the fluctuations of IFN-γ, and their role in HBV reactivation and related liver injury.MethodThis was a retrospective study. Firstly, 162 patients with hepatitis B and tuberculosis co-infection (initial HBV-TB group) and 162 patients with simple hepatitis B infection (initial HBV group) who were hospitalized at the Third People’s Hospital of Huizhou from June 2016 to September 2025 were consecutively included for preliminary comparison. Secondly, from the initial cohort, a baseline comparable subgroup was selected based on age, gender, and baseline levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) for immunological analysis (a total of 14 patients in the TB-HBV group and 11 patients in the HBV group).Additionally, within the HBV-TB group, according to whether they received preventive antiviral treatment, they were divided into an untreated subgroup (n=16) and a treated subgroup (n=20) to analyze the impact of treatment on prognosis.ResultThe comparison of baseline data between the HBV-TB group and the HBV group showed that the proportion of males was higher in the HBV-TB group, and the levels of WBC, NEU, Mon and PLT were higher than those in the HBV group. However, the levels of HBsAg, HBVDNA, ALT, AST, Lym and RBC were lower than those in the HBV group (all P
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