Successful lung transplantation in an HIV- and HBV-positive patient with cystic fibrosis: Case report

A. Bertani, P. Grossi, P. Vitulo, G. D'Ancona, A. Arcadipane, A. Nanni Costa, B. Gridelli

Research output: Contribution to journalArticlepeer-review

Abstract

Prior to the advent of highly active antiretroviral therapy (HAART), HIV-infected patients were usually not considered as transplant candidates because of the poor prognosis of their underlying disease and concerns regarding the potential detrimental effects of immunosuppression on viral load and immune status. However, with the significant HAART-associated improvements in morbidity and mortality, good short-term outcomes after liver and kidney transplantation for patients with HIV infection have been reported. Nevertheless, HIV infection is currently considered a contraindication to lung transplantation in most transplant centers worldwide. The results of a double lung transplant performed in an HIV and HBV co-infected patient with cystic fibrosis (CF) and end-stage respiratory failure (ESRF) are presented after a 2-year follow-up. Approval of and recommendations for the management of this patient were obtained from the Italian National Center for Transplantation as an extension of the ongoing Italian protocol for liver and kidney transplantation in HIV-infected individuals. The operation was successful and the patient recovered rapidly after surgery. A cautious infectious and immunosuppressive management allowed so far the avoidance of major infectious complications and rejection. To the best of our knowledge, this is the first report of lung transplantation in an HIV and HBV co-infected patient.

Original languageEnglish
Pages (from-to)2190-2196
Number of pages7
JournalAmerican Journal of Transplantation
Volume9
Issue number9
DOIs
Publication statusPublished - Sep 2009

Keywords

  • Cystic fibrosis
  • Hepatitis B virus (HBV)
  • HIV infection
  • Immunosuppression
  • Lung transplantation

ASJC Scopus subject areas

  • Transplantation
  • Immunology and Allergy
  • Pharmacology (medical)

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