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Acute Hepatitis B Infection After a Switch to Long-Acting Cabotegravir and Rilpivirine

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Abstract Maintenance antiretroviral therapy with combination of two injectable long-acting drugs, cabotegravir and rilpivirine, is a new strategy addressing the challenges of daily adherence to oral pills that has shown… Click to show full abstract

Abstract Maintenance antiretroviral therapy with combination of two injectable long-acting drugs, cabotegravir and rilpivirine, is a new strategy addressing the challenges of daily adherence to oral pills that has shown non-inferior efficacy to standard of care therapy in patients with suppressed HIV-infection. Patients co-infected with hepatitis B virus (HBV) are not eligible for this dual therapy since it has no activity against HBV, but this strategy should also be restricted to patients with anti-HBs antibodies since people with HIV are still at risk of HBV acquisition due to high risk behavior and since HBV vaccination does not always elicit anti-HBs antibodies, as highlighted in the case report below.

Keywords: long acting; hepatitis infection; acute hepatitis; infection switch; cabotegravir rilpivirine

Journal Title: Open Forum Infectious Diseases
Year Published: 2020

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