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Table 3 Clinical characteristics of the 8 cases of NVP-induced liver injury. *HLAB5701 tested absent

From: Clinical and genetic factors associated with increased risk of severe liver toxicity in a monocentric cohort of HIV positive patients receiving nevirapine-based antiretroviral therapy

 

Pt 1

Pt 2

Pt 3

Pt 4

Pt 5

Pt 6

Pt 7

Pt 8

HCV coinfection

no

yes

yes

yes

yes

no

yes

yes

ARV status

Experienced

Experienced

Experienced

Experienced

Naive

Experienced

Experienced

Experienced

Concomitant ARV

d4T + 3TC

d4T + 3TC

ABC* + 3TC

AZT + 3TC

AZT + 3TC

d4T + ddi

AZT + 3TC

d4T + ddi

NVP exposure before treatment interruption (days)

28

61

29

28

58

28

50

38

Concomitant medication

none

none

Vitamin D and folinic acid

none

Phenobarbital and alprazolam

none

None

Folinic acid

Symptoms

Nausea and severe weakness

none

Nausea

none

Weakness

none

Nausea

None

Required hospitalization

yes

no

yes

no

no

no

no

no

Outcome

Recovered without sequelae

Recovered without sequelae

Recovered without sequelae

Recovered without sequelae

Recovered without sequelae

Recovered without sequelae

Recovered without sequelae

Recovered without sequelae

RUCAM

Probable

Probable

Possible

Probable

Possible

Probable

Probable

Possible

  1. Abbreviations: Pt Patient, HCV Hepatitis C virus, ARV Antiretroviral, d4T Stavudine, 3TC Lamivudine, ABC Abacavir, AZT Zidovudine, ddi Didanosine, RUCAM Roussel Uclaf Causality Assessment Method