Álvarez Hortensia, Mariño Ana, Valcarce Nieves, Khoo Saye, Bhagani Sanjay, Schapiro Jonathan, Llibre Josep M
1 Infectious Diseases Unit, Internal Medicine Department, University Hospital of Ferrol, A Coruña, Spain.
2 Hospital Pharmacy, University Hospital of Ferrol, A Coruña, Spain.
Int J STD AIDS. 2018 Aug;29(9):933-936. doi: 10.1177/0956462418755537. Epub 2018 Feb 21.
Curing hepatitis C virus (HCV) infection in patients harbouring multiple severe comorbidities is a medical challenge. Evidence-based data are lacking regarding HCV treatment with direct-acting antiviral regimens in particular populations of HCV/HIV-coinfected patients with cirrhosis and chronic kidney disease on haemodialysis. Here, we present the HCV treatment challenges facing a patient with HIV coinfection, prior failure of both HIV-1 and HCV therapy, cirrhosis, end-stage renal failure on haemodialysis, as well as management of drug-drug interactions, especially given the need to receive long-term amiodarone therapy.
治愈患有多种严重合并症患者的丙型肝炎病毒(HCV)感染是一项医学挑战。关于在患有肝硬化和接受血液透析的慢性肾病的特定丙型肝炎病毒/艾滋病毒合并感染患者群体中使用直接作用抗病毒方案进行HCV治疗,缺乏循证数据。在此,我们介绍了一名合并感染艾滋病毒、先前HIV-1和HCV治疗均失败、患有肝硬化、处于血液透析的终末期肾衰竭患者所面临的HCV治疗挑战,以及药物相互作用的管理,特别是考虑到需要接受长期胺碘酮治疗的情况。