Medicina (Apr 2017)

Lamivudine’s hypersensitivity in an HIV infected patient: case report

  • Vitor R. G. A. Valviesse,
  • Leonardo I. de Pinho,
  • Rodrigo F. Freitas,
  • Andrea G. Varon,
  • Alberto S. Lemos

DOI
https://doi.org/10.11606/issn.2176-7262.v50i2p139-142
Journal volume & issue
Vol. 50, no. 2

Abstract

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Relevance: To report a case of hypersensitivity to lamivudine, a medicine that is considered safe and is indicated as part of the initial therapy for HIV infected patients. Comments: It is reported the evolution of an HIV patient who developed a drug eruption due to the following antirretroviral therapy: tenofovir, lamivudine and efavirenz. It initially was attributed to efavirenz, due to its higher incidence in these adverse reactions and it was replaced by fosamprenavir/ritonavir. In spite of the replacement, the patient developed Stevens-Johnson's Syndrome. She was hospitalized and began a new therapy with atazanavir/ritonavir, followed by zidovudine and lamivudine and presented a drug reaction with the last one, which was considered to be the responsible for the hypersensitivity

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