Infection by hepatitis C virus is characterized by a high rate of chro
nicity and low viremia. The virus has only been recently identified; i
t is a positively stranded RNA virus which shows homology in its genet
ic organisation with the Pestiviruses and Flaviviruses. There is not y
et efficient culture system available. Several evidences indicate that
the genetic variability of HCV genome might have important clinical i
mplications; in particular infection by genotype Ib is less responsive
to interferon treatment and, possibly, associated to more severe live
r diseases.