Treatment of Hepatitis C Virus Infection in Kidney Transplant Recipients: Case Report

被引:7
作者
Caeiro, F. [1 ]
Baptista, V. [1 ]
Rodrigues, N. [1 ]
Carvalho, D. [1 ]
Aires, I. [1 ]
Remedio, F. [1 ]
Nolasco, F. [1 ]
机构
[1] Hosp Curry Cabral, Dept Nephrol, Lisbon, Portugal
关键词
FIBROSING CHOLESTATIC HEPATITIS; RENAL-TRANSPLANTATION; SURVIVAL; THERAPY; DISEASE;
D O I
10.1016/j.transproceed.2011.01.001
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Chronic hepatitis C virus (HCV) infection exists in a large proportion of patients undergoing renal transplantation. Nowadays it is not considered to be an absolute contraindication to transplantation; however, it is associated with an increased risk for the patient and accounts for a shorter half-life of the renal allograft. We present three transplant recipients who displayed serious hepatic dysfunction after renal transplantation due to an HCV infection. In two of these cases, the liver biopsies established the diagnosis of FCH. In the third case, the liver biopsy was compatible with the early stages of FCH. All patients were started on peg-interferon alfa 2-b and ribavirin with subsequent normalization of hepatic function and early complete viral responses.
引用
收藏
页码:259 / 262
页数:4
相关论文
共 11 条
[1]  
Batty DS, 2001, AM J TRANSPLANT, V1, P179, DOI 10.1034/j.1600-6143.2001.10213.x
[2]  
BUSTILLO ED, 1998, J AM SOC NEPHROL, V9, P1109
[3]   HEPATIC HISTOLOGICAL-FINDINGS AFTER TRANSPLANTATION FOR CHRONIC HEPATITIS-B VIRUS-INFECTION, INCLUDING A UNIQUE PATTERN OF FIBROSING CHOLESTATIC HEPATITIS [J].
DAVIES, SE ;
PORTMANN, BC ;
OGRADY, JG ;
ALDIS, PM ;
CHAGGAR, K ;
ALEXANDER, GJM ;
WILLIAMS, R .
HEPATOLOGY, 1991, 13 (01) :150-157
[4]   Fibrosing cholestatic hepatitis in renal transplant recipients with hepatitis C virus infection [J].
Delladetsima, JK ;
Boletis, JN ;
Makris, F ;
Psichogiou, M ;
Kostakis, A ;
Hatzakis, A .
LIVER TRANSPLANTATION AND SURGERY, 1999, 5 (04) :294-300
[5]   Risk of death and liver cirrhosis in anti-HCV-positive long-term haemodialysis patients [J].
Espinosa, M ;
Martin-Malo, A ;
de Lara, MAA ;
Ajama, P .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2001, 16 (08) :1669-1674
[6]   Meta-analysis: anti-viral therapy of hepatitis C virus-related liver disease in renal transplant patients [J].
Fabrizi, F. ;
Lunghi, G. ;
Dixit, V. ;
Martin, P. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2006, 24 (10) :1413-1422
[7]  
NORAH A, 2007, CLIN J AM SOC NEPHRO, V2, P563
[8]   Effect of hepatitis C infection and renal transplantation on survival in end-stage renal disease [J].
Pereira, BJG ;
Natov, SN ;
Bouthot, BA ;
Murthy, BVR ;
Ruthazer, R ;
Schmid, CH ;
Levey, AS .
KIDNEY INTERNATIONAL, 1998, 53 (05) :1374-1381
[9]   Hepatitis C Infection and Chronic Renal Diseases [J].
Perico, Norberto ;
Cattaneo, Dario ;
Bikbov, Boris ;
Remuzzi, Giuseppe .
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2009, 4 (01) :207-220
[10]   Alpha-interferon therapy for chronic hepatitis C may induce acute allograft rejection in kidney transplant patients with failed allografts [J].
Weclawiack, Hugo ;
Kamar, Nassim ;
Mehrenberger, Marion ;
Guilbeau-Frugier, Celine ;
Modesto, Anne ;
Izopet, Jacques ;
Ribes, David ;
Sallusto, Federico ;
Rostaing, Lionel .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (03) :1043-1047