4.2 Article

Hepatitis B Virus Reactivation 55 Months Following Chemotherapy Including Rituximab and Autologous Peripheral Blood Stem Cell Transplantation for Malignant Lymphoma

Journal

INTERNAL MEDICINE
Volume 60, Issue 3, Pages 417-421

Publisher

JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.5678-20

Keywords

hepatitis B virus reactivation; de novo hepatitis; rituximab; peripheral blood stem cell transplantation

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A 54-year-old woman with diffuse large B-cell lymphoma underwent chemotherapy and experienced HBV reactivation 55 months after treatment. TAF therapy improved her liver function, highlighting the importance of monitoring for HBV reactivation in patients undergoing chemotherapy.
A 54-year-old woman underwent chemotherapy including rituximab and autologous peripheral blood stem cell transplantation (auto-PBSCT) for diffuse large B-cell lymphoma. Before the treatment, she exhibited a resolved hepatitis B virus (HBV) infection. She was diagnosed with HBV reactivation based on positive serum HBV-DNA test results, 55 months after her last treatment. Subsequently, he was treated with tenofovir alafenamide fumarate (TAF) therapy and her liver function improved. Patients undergoing chemotherapy including rituximab and auto-PBSCT are at a high risk of HBV reactivation. In such cases, careful and long-term observations may be required to detect HBV reactivation.

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