[Hepatitis B reactivation in an HbsAg-negative/anti-HBc-positive patient with B-cell non-Hodgkin lymphoma receiving chemotherapy with rituximab]

Gastroenterol Hepatol. 2010 May;33(5):377-81. doi: 10.1016/j.gastrohep.2010.01.010. Epub 2010 Apr 2.
[Article in Spanish]

Abstract

Reactivation of hepatitis B virus infection in patients with resolved infection is rare and is usually associated with immunosuppressive therapy. Morbidity and mortality are high. Some cases of hepatitis B reactivation associated with the use of rituximab have previously been published. We present the case of a patient with B-cell non-Hodgkin lymphoma receiving combination chemotherapy with rituximab who showed hepatitis B reactivation followed by liver failure. The most recent literature on this topic is reviewed and discussed.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Adenine / analogs & derivatives
  • Adenine / therapeutic use
  • Aged, 80 and over
  • Antibodies, Monoclonal / administration & dosage
  • Antibodies, Monoclonal / adverse effects*
  • Antibodies, Monoclonal, Murine-Derived
  • Antibody Specificity
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Comorbidity
  • Cyclophosphamide / administration & dosage
  • Fatal Outcome
  • Hepatitis B Antibodies / blood*
  • Hepatitis B Antibodies / immunology
  • Hepatitis B Core Antigens / immunology*
  • Hepatitis B Surface Antigens / blood
  • Hepatitis B virus / physiology*
  • Hepatitis B, Chronic / complications*
  • Hepatitis B, Chronic / drug therapy
  • Hepatitis B, Chronic / virology
  • Humans
  • Immunologic Factors / administration & dosage
  • Immunologic Factors / adverse effects*
  • Immunotherapy / adverse effects*
  • Liver Failure / etiology
  • Lymphoma, B-Cell, Marginal Zone / complications*
  • Lymphoma, B-Cell, Marginal Zone / drug therapy
  • Male
  • Organophosphonates / therapeutic use
  • Prednisone / administration & dosage
  • Recurrence
  • Rituximab
  • Tenofovir
  • Vincristine / administration & dosage
  • Virus Activation / drug effects*
  • Virus Activation / immunology*

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Murine-Derived
  • Hepatitis B Antibodies
  • Hepatitis B Core Antigens
  • Hepatitis B Surface Antigens
  • Immunologic Factors
  • Organophosphonates
  • Rituximab
  • Vincristine
  • Cyclophosphamide
  • Tenofovir
  • Adenine
  • Prednisone

Supplementary concepts

  • COP protocol 2