Emtricitabine-induced pure red cell aplasia

Southern African Journal of HIV Medicine

 
 
Field Value
 
Title Emtricitabine-induced pure red cell aplasia
 
Creator Manickchund, Nithendra du Plessis, Camille John, Melanie-Anne A. Manzini, Thandekile C. Gosnell, Bernadett I. Lessells, Richard J. Moosa, Yunus S.
 
Subject — emtricitabine; pure red cell aplasia; drug induced; rare drug toxicity; adverse drug reaction; antiretroviral
Description Introduction: Anemia is common in HIV. Parvo B19 infection is a well-recognised cause of red cell aplasia. Other causes of persistent pure red cell aplasia (PRCA) include anti-retroviral drugs such as zidovudine and lamivudine. We describe a case of PRCA that strongly implicates emtricitabine as the probable cause.Patient presentation: Patient was HIV positive and on treatment with a fixed drug combination consisting of tenofovir, emtricitabine and efavirenz for 3 months when she developed severe transfusion dependent anemia. The anemia, attributed to PRCA, was persistent and transfusion dependent for about one year.Management and outcome: Replacement of emtricitabine with abacavir resulted in a prompt, complete and lasting resolution of the anaemia, suggesting an etiologic role of emtricitabine in the PRCA.Conclusion: Emtricitibine is a rare cause of pure red cell aplasia.
 
Publisher AOSIS
 
Contributor
Date 2019-09-23
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v20i1.983
 
Source Southern African Journal of HIV Medicine; Vol 20, No 1 (2019); 3 pages 2078-6751 1608-9693
 
Language eng
 
Relation
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https://sajhivmed.org.za/index.php/hivmed/article/view/983/1602 https://sajhivmed.org.za/index.php/hivmed/article/view/983/1601 https://sajhivmed.org.za/index.php/hivmed/article/view/983/1603 https://sajhivmed.org.za/index.php/hivmed/article/view/983/1600
 
Coverage — — —
Rights Copyright (c) 2019 Yunus S. Moosa https://creativecommons.org/licenses/by/4.0
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