Acute liver failure resulting from discontinuation of nucleoside analogues in chronic hepatitis B patients: a report of two cases

Scand J Infect Dis. 2013 Feb;45(2):158-60. doi: 10.3109/00365548.2012.704152. Epub 2012 Jul 25.

Abstract

Lamivudine, adefovir, telbivudine, and entecavir are nucleoside analogues that can inhibit hepatitis B virus replication and are licensed in China by the Food and Drug Administration. This study presents the cases of 2 patients who were chronically infected with HBV and suffered hepatic failure resulting from withdrawal of telbivudine and adefovir, respectively.

Publication types

  • Case Reports

MeSH terms

  • Adenine / adverse effects
  • Adenine / analogs & derivatives*
  • Adenine / therapeutic use
  • Adult
  • Antiviral Agents / adverse effects
  • Antiviral Agents / therapeutic use*
  • Guanine / adverse effects
  • Guanine / analogs & derivatives
  • Guanine / therapeutic use
  • Hepatitis B, Chronic / drug therapy
  • Hepatitis B, Chronic / pathology*
  • Histocytochemistry
  • Humans
  • Lamivudine / adverse effects
  • Lamivudine / therapeutic use*
  • Liver Failure, Acute / etiology*
  • Liver Failure, Acute / pathology
  • Liver Failure, Acute / virology*
  • Liver Transplantation
  • Male
  • Medication Adherence
  • Necrosis
  • Organophosphonates / adverse effects
  • Organophosphonates / therapeutic use*
  • Telbivudine
  • Thymidine / adverse effects
  • Thymidine / analogs & derivatives
  • Thymidine / therapeutic use

Substances

  • Antiviral Agents
  • Organophosphonates
  • Telbivudine
  • Lamivudine
  • entecavir
  • Guanine
  • adefovir
  • Adenine
  • Thymidine