TABLE 1.
HCV Exposure | At Time of HCV Diagnosis | ||||||
---|---|---|---|---|---|---|---|
Plasma HIV | |||||||
Patient | Age | MSM | Parenteral* | ARV | CD4 (cells/mm3) | RNA (copies/mL) | HCV Antibody |
1 | 47 | Y | No | 3TC, D4T, NFV | 292 | <50 | Positive |
2 | 26 | Y | No | None | 355 | 39,556 | Negative |
3 | 56 | Y | No | 3TC, TDF, EFV | 350 | <50 | Positive |
4 | 35 | Y | No | 3TC, D4T, NVP | 435 | 5000 | Positive |
5 | 50 | N | Prior IDU | 3TC, ZDV, NFV | 329 | <50 | Positive |
6 | 55 | Y | No | 3TC, ABC, FOS/r | 450 | <50 | Positive |
7 | 38 | Y | No | 3TC, TDF, ATZ | 283 | <50 | Positive |
8 | 45 | N | No | DDI, TDF, IDV/r | 7 | >100,000 | Negative |
9 | 33 | N | Active IDU | DDI, NVP, LOP/r | 312 | 30,000 | Negative |
Patient | Age | Clinical Presentation | Sexually Transmitted Infections |
ALT Peak Value (IU/L) |
HCV Therapy | Outcome |
---|---|---|---|---|---|---|
1 | 47 | Jaundice, RUQ pain | — | 1473 | Declined therapy | Spontaneous clearance of HCV viremia |
2 | 26 | Diarrhea, Arthralgia | — | 361 | Declined therapy | Spontaneous clearance of HCV viremia |
3 | 56 | Jaundice, Nausea | — | >3000 | PEG IFN + RBV | SVR |
4 | 35 | Jaundice, RUQ pain | Urethral GC 4 weeks prior to HCV diagnosis | 426 | PEG IFN + RBV | ETR |
5 | 50 | Flu-like illness, Headache | Urethral Chlamydia 7 months prior to HCV diagnosis | 286† | PEG IFN + RBV | SVR |
6 | 55 | Jaundice, Flu-like illness, RUQ pain | — | 2128 | PEG IFN + RBV | Chronic HCV |
7 | 38 | Asymptomatic | Rectal GC 1 month prior to HCV diagnosis | 1194 | Declined therapy | Chronic HCV |
8 | 45 | Asymptomatic | — | 334 | Declined therapy | Chronic HCV |
9 | 33 | Jaundice, Diarrhea, Myalgia | — | 4722 | Therapy not offered | Chronic HCV |
Surgery within one year, history of blood tranfusion, reported IDU.
Peak ALT from hospitalization not available.
3TC indicates lamivudine; ABC, abacavir; ATZ, atazanavir; D4T, stavudine; DDI, didanosine; EFV, efavirenz; ETR, end of treatment response; FOS/r, ritonivir-boosted fosamprenavir; GC, gonorrhea; IDV/r, ritonavir-boosted indinivir; LOP/r, ritonivir-boosted lopinivir; PEG IFN, pegylated infeferon; NVP, nevirapine; NFV, nelfinivir; RBV, ribavirin; SVR, sustained virologic response; TDF, tenofovir; ZDV, zidovudine; and MSM, men who have sex with men.