Skip to main content
Top
Published in: Infection 6/2016

01-12-2016 | Case Report

Colitis during new direct-acting antiviral agents (DAAs) therapy with sofosbuvir, simeprevir and ribavirin for genotype 1b hepatitis C

Authors: Ilaria Izzo, Paola Zanotti, Claudia Chirico, Salvatore Casari, Vincenzo Villanacci, Marianna Salemme, Luciano Biasi, Elena Festa, Francesco Castelli

Published in: Infection | Issue 6/2016

Login to get access

Abstract

Since 2014 several direct-acting antivirals (DAAs) have been made available, allowing interferon-free antiviral treatments with high sustained virological response rates. Side effects are, however, a real challenge during treatment. Sarkar et al. recently published a case of colitis following initiation of sofosbuvir and simeprevir for genotype 1 hepatitis C. We report the case of a patient with no prior history of inflammatory bowel disease, who developed significant bloody diarrhea within 3 weeks of sofosbuvir/simeprevir/ribavirin initiation. Colonoscopy and biopsy suggested a drug-induced colitis.
Literature
1.
go back to reference Mohd Hanafiah K, Groeger J, Flaxman AD, Wiersma ST. Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. 2013;57:1333.CrossRefPubMed Mohd Hanafiah K, Groeger J, Flaxman AD, Wiersma ST. Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. 2013;57:1333.CrossRefPubMed
2.
go back to reference Zopf S, Kremer AE, Neurath MF, Siebler J. Advances in hepatitis C therapy: what is the current state—what come’s next? World J Hepatol. 2016;8(3):139–47.CrossRefPubMedPubMedCentral Zopf S, Kremer AE, Neurath MF, Siebler J. Advances in hepatitis C therapy: what is the current state—what come’s next? World J Hepatol. 2016;8(3):139–47.CrossRefPubMedPubMedCentral
3.
go back to reference Sarkar S, Mitchell KA, Lim JK, Oikonomou I, Jakab S. Colitis following initiation of sofosbuvir and simeprevir for genotype 1 hepatitis C. ACG Case Rep J. 2015;3(1):42–4.CrossRefPubMedPubMedCentral Sarkar S, Mitchell KA, Lim JK, Oikonomou I, Jakab S. Colitis following initiation of sofosbuvir and simeprevir for genotype 1 hepatitis C. ACG Case Rep J. 2015;3(1):42–4.CrossRefPubMedPubMedCentral
5.
go back to reference Leung Y, Urbanski SJ, Schindel L, Myers RP. Ischemic colitis during pegylated interferon-alpha and ribavirin therapy for chronic hepatitis C. Can J Gastroenterol. 2006;20(10):661–3.CrossRefPubMedPubMedCentral Leung Y, Urbanski SJ, Schindel L, Myers RP. Ischemic colitis during pegylated interferon-alpha and ribavirin therapy for chronic hepatitis C. Can J Gastroenterol. 2006;20(10):661–3.CrossRefPubMedPubMedCentral
6.
go back to reference Baik SJ, Kim TH, Yoo K, Moon IH, Cho MS. Ischemic colitis during interferon-ribavirin therapy for chronic hepatitis C: a case report. World J Gastroenterol. 2012;18(31):4233–6.CrossRefPubMedPubMedCentral Baik SJ, Kim TH, Yoo K, Moon IH, Cho MS. Ischemic colitis during interferon-ribavirin therapy for chronic hepatitis C: a case report. World J Gastroenterol. 2012;18(31):4233–6.CrossRefPubMedPubMedCentral
7.
go back to reference Plevy S, Silverberg MS, Lockton S, Stockfisch T, Croner L, Stachelski J, Brown M, Triggs C, Chuang E, Princen F, Singh S. Combined serological, genetic, and inflammatory markers differentiate non-IBD, Crohn’s disease, and ulcerative colitis patients. Inflamm Bowel Dis. 2013;19(6):1139–48.CrossRefPubMedPubMedCentral Plevy S, Silverberg MS, Lockton S, Stockfisch T, Croner L, Stachelski J, Brown M, Triggs C, Chuang E, Princen F, Singh S. Combined serological, genetic, and inflammatory markers differentiate non-IBD, Crohn’s disease, and ulcerative colitis patients. Inflamm Bowel Dis. 2013;19(6):1139–48.CrossRefPubMedPubMedCentral
8.
go back to reference Mc Carthy AJ, Lauwers GY, Sheahan K. Iatrogenic pathology of the intestines. Histopathology. 2015;66(1):15–28.CrossRef Mc Carthy AJ, Lauwers GY, Sheahan K. Iatrogenic pathology of the intestines. Histopathology. 2015;66(1):15–28.CrossRef
Metadata
Title
Colitis during new direct-acting antiviral agents (DAAs) therapy with sofosbuvir, simeprevir and ribavirin for genotype 1b hepatitis C
Authors
Ilaria Izzo
Paola Zanotti
Claudia Chirico
Salvatore Casari
Vincenzo Villanacci
Marianna Salemme
Luciano Biasi
Elena Festa
Francesco Castelli
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Infection / Issue 6/2016
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-016-0915-x

Other articles of this Issue 6/2016

Infection 6/2016 Go to the issue