Article
Fatal submassive hepatic necrosis associated with tyrosine-methionine-aspartate-aspartate-motif mutation of hepatitis B virus after long-term lamivudine therapy.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America - 1 Aug 2001
Kim J W, Lee H S, Woo G H, Yoon J H, Jang J J, Chi J G, Kim C Y
Abstract excerpt
We present a case of infection with lamivudine-resistant mutant hepatitis B virus (HBV) that fatally exacerbated hepatitis following the emergence of HBV with mutations in the tyrosine-methionine-aspartate-aspartate (YMDD) motif in an immunocompetent patient who was receiving long-term lamivudine therapy. Restriction fragment length polymorphism analysis showed that the YMDD-motif mutant was the predominant form...
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