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.
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
MeSH terms
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Adult
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Allografts / microbiology
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Allografts / virology*
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Antibodies, Monoclonal / therapeutic use
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Antiviral Agents / administration & dosage
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Antiviral Agents / therapeutic use*
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Basiliximab
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Disease Transmission, Infectious
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Drug Therapy, Combination
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Female
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HIV / isolation & purification
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Hepacivirus / genetics
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Hepacivirus / isolation & purification*
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Hepatitis B virus / isolation & purification
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Hepatitis C / drug therapy*
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Hepatitis C / virology
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Humans
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Immunosuppression Therapy
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Klebsiella pneumoniae / isolation & purification
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Liver Transplantation / adverse effects*
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Male
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Middle Aged
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Nausea / etiology
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Polymerase Chain Reaction
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Pulmonary Disease, Chronic Obstructive / surgery
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RNA, Viral / isolation & purification
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Recombinant Fusion Proteins / therapeutic use
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Simeprevir / administration & dosage
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Simeprevir / therapeutic use
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Sofosbuvir / administration & dosage
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Tissue and Organ Procurement
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Transplant Recipients
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Treatment Outcome
Substances
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Antibodies, Monoclonal
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Antiviral Agents
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RNA, Viral
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Recombinant Fusion Proteins
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Basiliximab
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Simeprevir
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Sofosbuvir