An HIV Patient with Hepatic Flare after the Initiation of HBV-active Antiretroviral Therapy
スポンサーリンク
概要
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A 39-year-old man presented a CD4 T cell count of 78/μL and HIV-RNA at 6.6×105 copies/mL at his first medical examination. After the 58th day, we initiated HBV-active antiretroviral therapy. Three months after the start of antiretroviral therapy, he was diagnosed with hepatic flare on the basis of elevated AST and ALT levels without detecting HBV-DNA. Although after continuing the medication his AST and ALT levels increased to 700 IU/L and 1,400 IU/L, respectively, he showed improvement following a natural course and was discharged from hospital after the 169th day. This is a case of hepatic flare likely caused by immune reconstitution associated with resolved HBV infection.
著者
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Hori Seiji
Department Of Academic Surgery (m9) Graduate School Of Medicine Chiba University
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Yoshida Masaki
Department Of 2nd Internal Medicine Jikei University School Of Medicine
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Onodera Shoichi
Department Of Infectious Disease And Infection Control The Jikei University School Of Medicine
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Kawano Shinji
Department Of Botany Faculty Of Agriculture Hokkaido University
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Kato Tetsuro
Department Of Infectious Disease Jikei University School Of Medicine
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SATO Fumiya
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine
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NAKAZAWA Yasushi
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine
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YOSHIKAWA Koji
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine
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Onodera Shoichi
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, Japan
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Hoshina Tokio
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, Japan
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Tamura Kumi
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, Japan
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Yoshikawa Koji
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine, Japan
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Yoshikawa Koji
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, Japan
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Kato Tetsuro
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine, Japan
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Yoshida Masaki
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, Japan
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Nakazawa Yasushi
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, Japan
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Nakazawa Yasushi
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
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Sato Fumiya
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, Japan
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Sato Fumiya
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
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Kato Tetsuro
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
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