Klämbt V, Panning M, Seidl M, Häffner K, Pohl M. Ribavirin therapy of hepatitis E infection may cause hyporegenerative anemia in pediatric renal transplant patients.
Pediatr Transplant 2018;
22:e13195. [PMID:
29665156 DOI:
10.1111/petr.13195]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/05/2018] [Indexed: 11/26/2022]
Abstract
HEV infection can lead to chronic hepatitis in immunosuppressed patients; extrahepatic manifestations are rarely seen. Here, we report a 13-year-old renal transplant patient with chronic hepatitis E and renal involvement. Ribavirin therapy led to temporary virus clearance and amelioration of kidney function. However, ribavirin therapy caused severe hyporegenerative anemia, which has so far only been reported in patients treated with a combination of ribavirin and interferon alpha.
Collapse