| Literature DB >> 18627270 |
Daniel S Fierer1, Alison J Uriel, Damaris C Carriero, Arielle Klepper, Douglas T Dieterich, Michael P Mullen, Swan N Thung, M Isabel Fiel, Andrea D Branch.
Abstract
Outbreaks of acute hepatitis C virus (HCV) infection are occurring in HIV-infected men who have sex with men. We evaluated risk factors and liver histopathology in 11 consecutively enrolled men with newly acquired HCV infection that was diagnosed on the basis of antibody seroconversion, new elevations in alanine aminotransferase level, and wide fluctuations in HCV RNA level. Ten patients reported unprotected anal intercourse, and 7 reported "club-drug" use, including methamphetamine. Liver biopsy showed moderately advanced fibrosis (Scheuer stage 2) in 9 patients (82%). No cause of liver damage other than acute HCV infection was identified. The specific pathways leading to periportal fibrosis in HIV-infected men with newly acquired HCV infection require investigation.Entities:
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Year: 2008 PMID: 18627270 PMCID: PMC4520699 DOI: 10.1086/590430
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226