A case of multiple ART intolerance responds to Albuvirtide and Dolutegravir : Case report and literature review

© 2024 The Authors. Published by Elsevier Ltd..

Upon confirming an HIV diagnosis, patients need to start life-long antiretroviral therapy (ART) as soon as possible. During HIV treatment, ART drugs can cause intolerable adverse reactions, leading to poor medication compliance, treatment failure, and advancement of the HIV stage. Herein, we report a case of AIDS intolerant to multiple antiviral drugs due to side effects that we finally stabilized with the Albuvirtide (ABT) and Dolutegravir (DTG) combination. A 48 -year-old woman developed intractable nausea, vomiting and abdominal discomfort within one month of starting ART. Over the course of four years, she was switched to four different ART regimens due to her intolerance of severe adverse effects, mainly gastrointestinal symptoms, rash, and lethargy. Over four years, she failed to attain viral suppression due to poor drug compliance. After several ART changes, we started her on the Long-acting antiretroviral therapy (LA ART), Albuvirtide, combined with Dolutegravir, which she tolerated well. The patient's general condition improved significantly and attained marked virologic suppression. The patient's condition has been well controlled for nearly two years with good adherence. This case emphasizes the influence of ART treatment options on medication compliance and the outcome of HIV infection.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Heliyon - 10(2024), 6 vom: 30. März, Seite e27219

Sprache:

Englisch

Beteiligte Personen:

Chen, Zhong [VerfasserIn]
Si, Tan [VerfasserIn]
Ying, Li [VerfasserIn]
Guiying, Cao [VerfasserIn]
Píng, Xiè Jiàn [VerfasserIn]
Wang, Min [VerfasserIn]

Links:

Volltext

Themen:

Adverse reactions
Albuvirtide (ABT)
Antiretroviral therapy (ART)
Case Reports
Dolutegravir (DTG)
Drug intolerance
HIV/AIDS
Long-acting ART

Anmerkungen:

Date Revised 26.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.heliyon.2024.e27219

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM37014161X