Successful treatment of donor-derived hepatitis C infection in a lung transplant recipient

Transpl Infect Dis. 2017 Apr;19(2). doi: 10.1111/tid.12659. Epub 2017 Feb 22.

Abstract

Data are limited regarding the use of direct-acting antivirals for treatment of hepatitis C infection post lung transplant, especially in a donor-derived infection. We present a case of a lung transplant recipient with donor-derived hepatitis C that was successfully treated with a 12-week regimen of simeprevir and sofosbuvir. This case reiterates the importance of screening recipients of increased-risk donor organs for disease transmission and the value of early therapy.

Keywords: direct-acting antivirals; donor-derived infection; hepatitis C; lung transplant.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Allografts / microbiology
  • Allografts / virology*
  • Antibodies, Monoclonal / therapeutic use
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / therapeutic use*
  • Basiliximab
  • Disease Transmission, Infectious
  • Drug Therapy, Combination
  • Female
  • HIV / isolation & purification
  • Hepacivirus / genetics
  • Hepacivirus / isolation & purification*
  • Hepatitis B virus / isolation & purification
  • Hepatitis C / drug therapy*
  • Hepatitis C / virology
  • Humans
  • Immunosuppression Therapy
  • Klebsiella pneumoniae / isolation & purification
  • Liver Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Nausea / etiology
  • Polymerase Chain Reaction
  • Pulmonary Disease, Chronic Obstructive / surgery
  • RNA, Viral / isolation & purification
  • Recombinant Fusion Proteins / therapeutic use
  • Simeprevir / administration & dosage
  • Simeprevir / therapeutic use
  • Sofosbuvir / administration & dosage
  • Tissue and Organ Procurement
  • Transplant Recipients
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal
  • Antiviral Agents
  • RNA, Viral
  • Recombinant Fusion Proteins
  • Basiliximab
  • Simeprevir
  • Sofosbuvir