Article
Efavirenz induced acute liver failure requiring liver transplantation in a slow drug metaboliser.
Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology - 1 Sept 2013
Elsharkawy Ahmed M, Schwab Ulrich, McCarron Brendan, Burt Alastair D, Daly Ann K, Hudson Mark, Masson Steven
Abstract excerpt
Highly active antiretroviral therapy has revolutionised HIV management. However, many of these drugs are potentially hepatotoxic. Here, we report the first adult case of efavirenz induced acute liver failure successfully treated by liver transplantation. Furthermore, genetic analysis revealed our patient to be a slow efavirenz metaboliser, contributing to the severity of clinical presentation.
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