Efavirenz intoxication due to slow hepatic metabolism

被引:51
作者
Hasse, B [1 ]
Günthard, HF
Bleiber, G
Krause, M
机构
[1] Cantonal Hosp Munsterlingen, Dept Internal Med, CH-8596 Munsterlingen, Switzerland
[2] Univ Zurich Hosp, Div Infect Dis & Hosp Epidemiol, CH-8091 Zurich, Switzerland
[3] Univ Lausanne Hosp, Div Infect Dis & Hosp Epidemiol, Lausanne, Switzerland
关键词
D O I
10.1086/427031
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We describe a human immunodeficiency virus-positive woman who presented with severe psychosis while she was receiving therapy with efavirenz. Her plasma efavirenz level was excessively high. Genetic investigation showed that she was homozygous for the CYP2B6 G516T allele, resulting in slow hepatic metabolism. After the dosage of efavirenz was lowered, all neuropsychiatric symptoms subsided.
引用
收藏
页码:E22 / E23
页数:2
相关论文
共 14 条
  • [1] Efavirenz
    Adkins, JC
    Noble, S
    [J]. DRUGS, 1998, 56 (06) : 1055 - 1064
  • [2] HAAS D, 2004, 11 C RETR OPP INF SA
  • [3] Efavirenz plasma levels can predict treatment failure and central nervous system side effects in HIV-1-infected patients
    Marzolini, C
    Telenti, A
    Decosterd, LA
    Greub, G
    Biollaz, J
    Buclin, T
    [J]. AIDS, 2001, 15 (01) : 71 - 75
  • [4] Mother-to-child transmission of HIV-1 and infant feeding practice
    Walker, AS
    Babiker, AG
    Gibb, DM
    Dunn, DT
    [J]. AIDS, 2001, 15 (10) : 1327 - 1328
  • [5] Central nervous system adverse effects with efavirenz: Case report and review
    Puzantian, T
    [J]. PHARMACOTHERAPY, 2002, 22 (07): : 930 - 933
  • [6] Ribaudo H, 2004, 11 C RETR OPP INF SA
  • [7] ROTGER M, 2005, IN PRESS PHARMACOGEN
  • [8] RUIZ NM, 1999, 6 C RETR OPP INF CHI
  • [9] Efavirenz-induced catatonia
    Sabato, S
    Wesselingh, S
    Fuller, A
    Ray, J
    Mijch, A
    [J]. AIDS, 2002, 16 (13) : 1841 - 1842
  • [10] A manic episode associated with efavirenz therapy for HIV infection
    Shah, MD
    Balderson, K
    [J]. AIDS, 2003, 17 (11) : 1713 - 1714