Antiretroviral therapeutic drug monitoring in a patient with small bowel resection and new HIV diagnosis

Autor: Leigh Cervino Ahern, Daniel Nixon, Patricia Pecora Fulco
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: IDCases, Vol 37, Iss , Pp e02017- (2024)
Druh dokumentu: article
ISSN: 2214-2509
DOI: 10.1016/j.idcr.2024.e02017
Popis: Antiretroviral (ARV) absorption in persons living with human immunodeficiency virus (PLWH, HIV) with short bowel syndrome is limited. We describe a case of a 28-year-old male with newly diagnosed HIV and plasmablastic lymphoma with proximal jejunostomy necessitating parenteral nutrition. ARV therapy with dolutegravir 50 mg twice daily and once daily tenofovir/emtricitabine was initiated with documented malabsorption and delayed virologic suppression (VS). Dolutegravir dose titration with therapeutic drug monitoring (TDM) resulted in VS at month 12. ARV TDM with dose titration is an option for PLWH with malabsorptive states to maintain VS.
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