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Clin Case Rep. 2017 Feb 03;5(4):371-375. doi: 10.1002/ccr3.841. eCollection 2017 Apr.

An HCV-positive recipient of an HCV-positive donor liver successfully treated before and immediately after liver transplant with daclatasvir, sofosbuvir, and ribavirin.

Clinical case reports

Fred Poordad, Eric Lawitz, Julio A Gutierrez, Juan Guerrero, Kermit Speeg, Eugene S Swenson

Affiliations

  1. Texas Liver Institute San Antonio Texas USA; Department of Transplant Hepatology University of Texas Health Science San Antonio Texas USA.
  2. Department of Transplant Hepatology University of Texas Health Science San Antonio Texas USA.
  3. Bristol-Myers Squibb Research and Development Wallingford Connecticut USA.

PMID: 28396749 PMCID: PMC5378822 DOI: 10.1002/ccr3.841

Abstract

This case suggests that initiation of HCV therapy immediately after liver transplantation with well-tolerated, all-oral regimens may achieve a virologic cure in HCV-positive recipients, thus preventing post-transplant HCV recurrence and associated disease progression. This strategy may broaden utilization of HCV-positive donor livers, potentially including HCV-negative transplant recipients.

Keywords: Daclatasvir; hepatitis C; liver transplantation; sofosbuvir

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