Fulminant hepatitis with severe lactate acidosis in HIV-infected patients on didanosine therapy.

Abstract:

:We report two cases of fulminant hepatic failure in HIV-1-infected patients treated with didanosine (ddI). Clinical manifestations including vomiting, diarrhoea and dyspnoea were identical in both cases. Biological data mainly revealed hepatic failure and lactic acidosis. Histological examination of liver biopsies showed diffuse microvesicular steatosis. The outcome was fatal in both patients. The only comparable case previously reported (Lai et al., 1991) showed close similarities in the clinical, biological and histological manifestations with microvesicular steatosis. This prompted us to suspect that ddI might be responsible for fulminant hepatitis in all three AIDS patients. This toxic effect may be added to the list of potential adverse events occurring during ddI therapy.

journal_name

J Intern Med

authors

Bissuel F,Bruneel F,Habersetzer F,Chassard D,Cotte L,Chevallier M,Bernuau J,Lucet JC,Trepo C

doi

10.1111/j.1365-2796.1994.tb01088.x

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

367-71

issue

4

eissn

0954-6820

issn

1365-2796

journal_volume

235

pub_type

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