Recurrence of HCV Infection in a Sustained Responder After Chemotherapy for Non-Hodgkin’s Lymphoma: Successful Retreatment

Autor: Konstantinos Thomopoulos, Konstantinos Mimidis, A.C. Tsamandas, M. Pallasopoulou, E. Fragopanagou, Ch. Lampropoulou-Karatza, N.C. Giannakoulas
Rok vydání: 2008
Předmět:
Zdroj: The American Journal of the Medical Sciences. 336:73-76
ISSN: 0002-9629
DOI: 10.1097/maj.0b013e318159d1a8
Popis: It is known that sustained virological response (SVR) in patients with chronic hepatitis C is associated with sustained elimination of hepatitis C virus (HCV) and that late relapse after SVR in HCV patients is doubtful. A 47-year-old man with chronic hepatitis C genotype 3, achieved SVR after combination treatment with pegylated interferon and ribavirine for 6 months. Sixteen months later non-Hodgkin's lymphoma was diagnosed. After successful completion of chemotherapy for non-Hodgkin's lymphoma, he presented with HCV infection recurrence of the same genotype. Retreatment with the same schedule resulted in normalization of aminotransferases and disappearance of HCVRNA from the serum. This case suggests that recurrence of HCV infection in a sustained responder may be probable after immunosuppressive therapy. Prevention is currently impossible but retreatment may be successful.
Databáze: OpenAIRE