scholarly journals De Novo Infection in a Renal Transplant Recipient Caused by Novel Mutants of Hepatitis B Virus Despite the Presence of Protective Anti–Hepatitis B Surface Antibody

2003 ◽  
Vol 187 (8) ◽  
pp. 1323-1326 ◽  
Author(s):  
Mengji Lu ◽  
Thomas Lorentz
1995 ◽  
Vol 22 (4) ◽  
pp. 500-503 ◽  
Author(s):  
Jonathan C.L. Booth ◽  
Rob D. Goldin ◽  
Jonathan L. Brown ◽  
Peter Karayiannis ◽  
Howard C. Thomas

2007 ◽  
Vol 38 (2) ◽  
pp. 157-160 ◽  
Author(s):  
A. Arzu Sayiner ◽  
Harun Agca ◽  
Aylin Sengonul ◽  
Ali Celik ◽  
Mesut Akarsu

1999 ◽  
Vol 68 (12) ◽  
pp. 1912-1914 ◽  
Author(s):  
Marion G. Peters ◽  
Gary Singer ◽  
Todd Howard ◽  
Sarah Jacobsmeyer ◽  
Xiaofeng Xiong ◽  
...  

2009 ◽  
Vol 50 (2) ◽  
pp. 377-387 ◽  
Author(s):  
Da-Li Zheng ◽  
Li Zhang ◽  
Na Cheng ◽  
Xiao Xu ◽  
Qing Deng ◽  
...  

1995 ◽  
Vol 22 (6) ◽  
pp. 685-690 ◽  
Author(s):  
Antonino Cavallari ◽  
Marco Vivarelli ◽  
Antonia D'Errico ◽  
Roberto Bellusci ◽  
Paolo Scarani ◽  
...  

2016 ◽  
Vol 10 (3) ◽  
pp. 553-559 ◽  
Author(s):  
Akira Sato ◽  
Toshiya Ishii ◽  
Fumiaki Sano ◽  
Takayuki Yamada ◽  
Hideaki Takahashi ◽  
...  

De novo hepatitis B is associated with a high risk of hepatic failure often resulting in fatal fulminant hepatitis even when nucleotide analogues are administered. A 77-year-old female developed de novo hepatitis B after R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone) treatment for diffuse large B-cell lymphoma. Hepatitis B virus (HBV) isolated from the patient was of genotype Bj, with a precore mutation (G1896A) exhibiting an extremely high viral load at the onset of hepatitis. She showed markedly high levels of transaminase with mild jaundice on admission and rapid decrease of prothrombin activity after admission. Although acute liver failure was averted by the administration of entecavir and corticosteroid pulse therapy, liver volume decreased to 860 ml, and marked hypoalbuminemia accompanying massive ascites occurred 2 months after the onset of hepatitis and persisted for 3 months with high levels of HBV DNA and mild abnormal alanine aminotransferase levels. Frequent infusions of albumin solution, nutrition support, and alleviation therapy showed limited effect. However, overall improvement along with HBV DNA reduction was observed after increasing the dose of entecavir and completion of prednisolone that was administered with a minimum dose for adrenal insufficiency. An immediate and sufficient suppression of virus replication with potent antiviral therapy is critical, particularly in patients infected with HBV precore mutation (G1896A) and/or Bj genotype, which may have a high viral replication and direct hepatocellular damage.


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