The Challenge of Adherence to a Complex Antiretroviral Therapy Regimen in an Individual With Multidrug-Resistant HIV.

Q1 Medicine Topics in antiviral medicine Pub Date : 2024-04-18
Marco Moretti, Karolien Stoffels, Kristel Van Laethem, Chris Verhofstede, Sigi Van Den Wijngaert, Charlotte Martin
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引用次数: 0

Abstract

Limited therapeutic options are available for patients with multidrug-resistant HIV. This report describes a 38-year-old female who was perinatally infected with HIV-1 and treated with 14 different antiretroviral regimens over 27 years, gradually leading to 4-class drug resistance. Despite various attempts to obtain sustained viral suppression, including the off-label administration of intravenous foscarnet and enfuvirtide, and thorough follow-up with 16 viral genotyping/phenotyping from 1999 to 2021, viral control was not maintained. Recently, the introduction of a regimen with fostemsavir and lenacapavir resulted in long-term viral suppression.

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耐多药艾滋病病毒感染者坚持复杂的抗逆转录病毒疗法的挑战。
对多种药物产生耐药性的艾滋病病毒感染者的治疗方案有限。本报告描述了一名 38 岁的女性,她在围产期感染了 HIV-1,并在 27 年中接受了 14 种不同的抗逆转录病毒疗法,逐渐产生了 4 级耐药性。尽管为了获得持续的病毒抑制做了各种尝试,包括在标签外静脉注射福斯卡奈特和恩夫韦肽,以及从 1999 年到 2021 年进行了 16 次病毒基因分型/表型分析的全面随访,但病毒控制并没有得到维持。最近,采用福斯替沙韦和来那卡韦治疗方案后,病毒得到了长期抑制。
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来源期刊
Topics in antiviral medicine
Topics in antiviral medicine Medicine-Pharmacology (medical)
CiteScore
1.80
自引率
0.00%
发文量
10
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