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Favourable outcome of adefovir-dipivoxil treatment in acute de novo hepatitis B after liver transplantation.
- Source :
-
Transplantation [Transplantation] 2004 Feb 15; Vol. 77 (3), pp. 472-3. - Publication Year :
- 2004
-
Abstract
- Adefovir-dipivoxil has been shown to be effective against lamivudine-resistant mutants in immunocompetent patients and in a small number of liver transplant recipients with recurrent hepatitis B virus (HBV) infection. The therapeutic role of adefovir-dipivoxil in acute de novo HBV infection after transplantation is uncertain. We describe a case of acute de novo HBV infection that occurred after liver transplantation and that was treated with lamivudine followed (when viral escape mutants emerged) by adefovir-dipivoxil rescue. Treatment outcome was excellent, with complete viral clearance and development of a protective titer of antibodies to anti-hepatitis B surface antigen. Because the donor was vaccinated against HBV, it is conceivable that clearance of HBV infection in the recipient might have been favored by adoptive transfer of immunity to HBV. The immune status of the donor might be a factor to consider when determining the treatment options for de novo hepatitis B.
- Subjects :
- Acute Disease
Hepatitis B immunology
Hepatitis B Antibodies analysis
Hepatitis B Surface Antigens immunology
Humans
Male
Middle Aged
Adenine analogs & derivatives
Adenine therapeutic use
Antiviral Agents therapeutic use
Hepatitis B drug therapy
Hepatitis B etiology
Liver Transplantation adverse effects
Organophosphonates
Subjects
Details
- Language :
- English
- ISSN :
- 0041-1337
- Volume :
- 77
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Transplantation
- Publication Type :
- Academic Journal
- Accession number :
- 14966431
- Full Text :
- https://doi.org/10.1097/01.TP.0000113466.53834.8A