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Fatal portal hypertension, liver failure, and mitochondrial dysfunction after HIV-1 nucleoside analogue-induced hepatitis and lactic acidaemia

Identifieur interne : 001087 ( Main/Exploration ); précédent : 001086; suivant : 001088

Fatal portal hypertension, liver failure, and mitochondrial dysfunction after HIV-1 nucleoside analogue-induced hepatitis and lactic acidaemia

Auteurs : Andrew Carr [Australie] ; Adrienne Morey [Australie] ; Patrick Mallon [Australie] ; David Williams [Australie] ; David R. Thorburn

Source :

RBID : ISTEX:8401EFE73F8B3A76AAD2C0F19F2C9F4BEF732A6D

Descripteurs français

English descriptors

Abstract

Acute hepatitis with lactic acidosis is a life-threatening but reversible toxic effect on mitochondria of HIV-1 nucleosideanalogue treatment. We report fatal portal hypertension, liver failure, and persistent mitochondrial dysfunction in a man aged 65 years with HIV-1 infection who had recovered fromnucleoside-analogue-induced acute hepatitis and lactic acidaemia more than 18 months previously. We believe that symptomfree patients who receive nucleoside-analogue therapy should have hepatic function constantly monitored, especially those with past or present lactic acidaemia. Acute hepatitis with lactic acidosis is a toxic effect of HIV- 1 nucleoside analogues on mitochondria. 80 of patients with lactate greater than 10 mmol/L die. The longterm outcome of those who survive is unknown, but all reports have shown full recovery.

Url:
DOI: 10.1016/S0140-6736(00)04579-7


Affiliations:


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