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严重的雷特格韦相关横纹肌溶解症:一例病例报告及文献综述

Severe raltegravir-associated rhabdomyolysis: a case report and review of the literature.

作者信息

Croce F, Vitello P, Dalla Pria A, Riva A, Galli M, Antinori S

机构信息

Department of Clinical Sciences, Section of Infectious Diseases and Immunopathology, University of Milan, L Sacco Hospital, Milan, Italy.

出版信息

Int J STD AIDS. 2010 Nov;21(11):783-5. doi: 10.1258/ijsa.2010.010246.

Abstract

Raltegravir (RAL), an HIV integrase inhibitor, may uncommonly induce an increase of serum creatine kinase (CK) both in naïve and antiretroviral (ARV)-experienced HIV-positive patients. We report the case of severe rhabdomyolysis requiring hospitalization in an ARV-experienced HIV/hepatitis C co-infected patient treated with a RAL-containing drug regimen. Factors favouring a severe clinical occurrence of RAL-induced rhabdomyolysis from cases reported in literature are described.

摘要

雷特格韦(RAL)是一种HIV整合酶抑制剂,在初治和有抗逆转录病毒(ARV)治疗史的HIV阳性患者中,可能罕见地导致血清肌酸激酶(CK)升高。我们报告了1例有ARV治疗史的HIV/丙型肝炎合并感染患者,因使用含RAL的药物方案治疗而发生严重横纹肌溶解症并需住院治疗的病例。本文描述了与文献报道病例相比,更易导致RAL诱导的横纹肌溶解症出现严重临床症状的因素。

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