Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier

A 58-year-old man was diagnosed as a hepatitis B virus (HBV) carrier approximately 30 years ago. He was diagnosed with renal cell carcinoma when he was 57 years old. Radical nephrectomy was performed, and everolimus was administered to treat his lung metastasis. After beginning the everolimus, inter...

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Main Authors: Mizuno, Shinta, Yamagishi, Yoshiyuki, Ebinuma, Hirotoshi, Nakamoto, Nobuhiro, Katahira, Mai, Sasaki, Aya, Sakamoto, Michiie, Suzuki, Hidekazu, Kanai, Takanori, Hibi, Toshifumi
Format: Online
Language:English
Published: Springer Japan 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627850/
id pubmed-3627850
recordtype oai_dc
spelling pubmed-36278502013-04-17 Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier Mizuno, Shinta Yamagishi, Yoshiyuki Ebinuma, Hirotoshi Nakamoto, Nobuhiro Katahira, Mai Sasaki, Aya Sakamoto, Michiie Suzuki, Hidekazu Kanai, Takanori Hibi, Toshifumi Case Report A 58-year-old man was diagnosed as a hepatitis B virus (HBV) carrier approximately 30 years ago. He was diagnosed with renal cell carcinoma when he was 57 years old. Radical nephrectomy was performed, and everolimus was administered to treat his lung metastasis. After beginning the everolimus, intermittent fever, general fatigue, and jaundice developed. He was admitted under a diagnosis of flare (acute exacerbation) of chronic B hepatitis due to HBV reactivation. Despite intensive care, he died of hepatic failure and fungus infection. The autopsy findings were compatible with hepatic failure due to HBV reactivation by everolimus. Antiviral prophylaxis must be taken into consideration before beginning immunosuppressive therapy such as everolimus in HBV carriers. Springer Japan 2013-03-14 2013-04 /pmc/articles/PMC3627850/ /pubmed/23606919 http://dx.doi.org/10.1007/s12328-013-0371-4 Text en © The Author(s) 2013 Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Mizuno, Shinta
Yamagishi, Yoshiyuki
Ebinuma, Hirotoshi
Nakamoto, Nobuhiro
Katahira, Mai
Sasaki, Aya
Sakamoto, Michiie
Suzuki, Hidekazu
Kanai, Takanori
Hibi, Toshifumi
spellingShingle Mizuno, Shinta
Yamagishi, Yoshiyuki
Ebinuma, Hirotoshi
Nakamoto, Nobuhiro
Katahira, Mai
Sasaki, Aya
Sakamoto, Michiie
Suzuki, Hidekazu
Kanai, Takanori
Hibi, Toshifumi
Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier
author_facet Mizuno, Shinta
Yamagishi, Yoshiyuki
Ebinuma, Hirotoshi
Nakamoto, Nobuhiro
Katahira, Mai
Sasaki, Aya
Sakamoto, Michiie
Suzuki, Hidekazu
Kanai, Takanori
Hibi, Toshifumi
author_sort Mizuno, Shinta
title Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier
title_short Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier
title_full Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier
title_fullStr Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier
title_full_unstemmed Progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis B virus carrier
title_sort progressive liver failure induced by everolimus for renal cell carcinoma in a 58-year-old male hepatitis b virus carrier
description A 58-year-old man was diagnosed as a hepatitis B virus (HBV) carrier approximately 30 years ago. He was diagnosed with renal cell carcinoma when he was 57 years old. Radical nephrectomy was performed, and everolimus was administered to treat his lung metastasis. After beginning the everolimus, intermittent fever, general fatigue, and jaundice developed. He was admitted under a diagnosis of flare (acute exacerbation) of chronic B hepatitis due to HBV reactivation. Despite intensive care, he died of hepatic failure and fungus infection. The autopsy findings were compatible with hepatic failure due to HBV reactivation by everolimus. Antiviral prophylaxis must be taken into consideration before beginning immunosuppressive therapy such as everolimus in HBV carriers.
publisher Springer Japan
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627850/
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