Acute clinical hepatitis by immune restoration in a human immunodeficiency virus/hepatitis B virus co-infected patient receiving antiretroviral therapy

被引:11
作者
Rouanet, I
Peyrière, H
Mauboussin, JM
Terrail, N
Vincent, D
机构
[1] Hop G Doumergue, Serv Med Interne A Pneumol, F-30000 Nimes, France
[2] CHU Montpellier, Lapeyronie Hosp, Pharmacovigilance Ctr, Montpellier, France
关键词
HIV; hepatitis B; HAART; immune reconstitution;
D O I
10.1097/00042737-200301000-00017
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We describe a human immunodeficiency virus (HIV)-infected patient with chronic active hepatitis B. The patient presented with acute clinical hepatitis during highly active antiretroviral therapy concomitant with immunovirological improvement of HIV infection. The hepatitis resolved within a few weeks despite the pursuit of antiretroviral drugs. Hepatitis B tests, which remained unchanged after two cycles of interferon alfa therapy and continuous administration of lamivudine, were improved with the clearance of hepatitis B virus (HBV) early antigen (HBeAg), the detection of antibody to HBV early antigen (HBeAb) and the undetectability of serum HBV DNA. Several months after this episode, HBV and HIV tests are still controlled. (C) 2003 Lippincott Williams Wilkins.
引用
收藏
页码:95 / 97
页数:3
相关论文
共 7 条
[1]   Chronic active hepatitis B exacerbations in human immunodeficiency virus-infected patients following development of resistance to or withdrawal of lamivudine [J].
Bessesen, M ;
Ives, D ;
Condreay, L ;
Lawrence, S ;
Sherman, KE .
CLINICAL INFECTIOUS DISEASES, 1999, 28 (05) :1032-1035
[2]   Restoration of immunity to chronic hepatitis B infection in HIV-infected patient on protease inhibitor [J].
Carr, A ;
Cooper, DA .
LANCET, 1997, 349 (9057) :995-996
[3]   Reactivation of hepatitis B virus replication accompanied by acute hepatitis in patients receiving highly active antiretroviral therapy [J].
Manegold, C ;
Hannoun, C ;
Wywiol, A ;
Dietrich, M ;
Polywka, S ;
Chiwakata, CB ;
Günther, S .
CLINICAL INFECTIOUS DISEASES, 2001, 32 (01) :144-148
[4]  
Mastroianni CM, 1998, AIDS, V12, P1939
[5]   Reactivation of hepatitis B in patients with human immunodeficiency virus infection treated with combination antiretroviral therapy [J].
Proia, LA ;
Ngui, SL ;
Kaur, S ;
Kessler, HA ;
Trenholme, GM .
AMERICAN JOURNAL OF MEDICINE, 2000, 108 (03) :249-251
[6]   Effect of HAART on natural history of AIDS-related opportunistic disorders [J].
Sepkowitz, KA .
LANCET, 1998, 351 (9098) :228-230
[7]   Resolution of chronic hepatitis B after ritonavir treatment in an HIV-infected patient [J].
Velasco, M ;
Morán, A ;
Téllez, MJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (22) :1765-1766