Sasaki Kyo, Hirose Tadashi, Suetsugu Yoshimasa, Yabushita Kazuhisa, Sakaguchi Kosaku
Gastroenterology and Hepatology, Kawasaki Medical School, Kurashiki, JPN.
Hematology, Itoshima Medical Association Hospital, Fukuoka, JPN.
Cureus. 2024 Jul 6;16(7):e63978. doi: 10.7759/cureus.63978. eCollection 2024 Jul.
Hepatitis B virus (HBV) reactivation-related hepatitis is likely to progress to acute liver failure, with high morbidity and mortality, even when nucleoside analogs are administered after the onset of hepatitis. We report a case of adult T-cell leukemia/lymphoma (ATLL) with the development of HBV reactivation-related hepatitis during chemotherapy and successful treatment by a combination of entecavir and short-term intravenous administration of interferon (IFN)-β 3 MIU twice per day. This outcome suggests that this combination therapy has a potent effect in rapidly suppressing HBV replication in the early phase of hepatitis and may be effective and safe for the treatment of HBV reactivation-related hepatitis.
乙型肝炎病毒(HBV)再激活相关肝炎即使在肝炎发作后给予核苷类似物,仍可能进展为急性肝衰竭,具有高发病率和死亡率。我们报告一例成人T细胞白血病/淋巴瘤(ATLL)患者,在化疗期间发生HBV再激活相关肝炎,并通过恩替卡韦与短期静脉注射干扰素(IFN)-β 3MIU每日两次联合成功治疗。这一结果表明,这种联合疗法在肝炎早期能有效快速抑制HBV复制,对于治疗HBV再激活相关肝炎可能有效且安全。