Chronic hepatitis E in a heart transplant patient: sofosbuvir and ribavirin regimen not fully effective

被引:23
|
作者
Todesco, Eve [1 ,2 ]
Mazzola, Alessandra [3 ]
Akhavan, Sepideh [2 ,4 ]
Abravanel, Florence [5 ,6 ]
Poynard, Thierry [7 ,8 ,9 ]
Roque-Afonso, Anne-Marie [10 ]
Peytavin, Gilles [11 ,12 ]
Marcelin, Anne-Genevieve [1 ,2 ]
Calmus, Yvon [3 ]
Lecuyer, Lucien [13 ]
Guillemain, Romain [14 ]
Conti, Filomena [3 ]
机构
[1] UPMC Univ Paris 06, Sorbonne Univ, INSERM, IPLESP,UMRS 1136, Paris, France
[2] Hop La Pitie Salpetriere, AP HP, Dept Virol, Paris, France
[3] UPMC Paris VI, Hop Pitie Salpetriere, AP HP, Unite Med Transplantat Hepat,Hepatogastroenterol, Blvd Hop, Paris, France
[4] UPMC Univ Paris 06, Sorbonne Univ, CIMI Paris UMRS CR7, PVI Team,Inserm,U1135, Paris, France
[5] CHU Toulouse, Hop Purpan, Lab Virol, Natl Reference Ctr Hepatitis E, Toulouse, France
[6] INSERM, Ctr Physiopathol Toulouse Purpan, U1043, Toulouse, France
[7] Grp Hosp Pitie Salpetriere, AP HP, Paris, France
[8] UPMC Univ Paris 06, Sorbonne Univ, UMR S 938, Paris, France
[9] INSERM, Inst Cardiometab & Nutr ICAN, Paris, France
[10] Univ Paris Sud, Hop Paul Brousse, AP HP, INSERM,Virol,U1193, Villejuif, France
[11] Bichat Claude Bernard Hosp, AP HP, Pharmacotoxicol Dept, Paris, France
[12] Univ Paris Diderot, Sorbonne Paris Cite, IAME, INSERM,UMR 1137, Paris, France
[13] Univ Paris 05, Hop Europeen Georges Pompidou, AP HP, Serv Chirurg Cardiovasc, Paris, France
[14] Hop Europeen Georges Pompidou, AP HP, Pole Cardiovasc Nephrol Hypertens Diabet, Unite Fonct Transplantat Thorac, Paris, France
关键词
E VIRAL-INFECTION; REPLICATION;
D O I
10.3851/IMP3227
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Hepatitis E virus (HEV) can induce chronic infections in the case of immunosuppression, which are sometimes not cured with ribavirin. Furthermore, sofosbuvir is a highly potent inhibitor of HCV polymerase and was shown to inhibit HEV genotype-3 replication in vitro. We report here the outcome of sofosbuvir/ribavirin therapy on a chronic HEV infection in a heart transplant recipient non-responder to ribavirin. After 24 weeks, the regimen failed to cure the persistent HEV infection, highlighting the need of therapeutic options for HEV-infected immunosuppressed patients.
引用
收藏
页码:463 / 465
页数:3
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