Case Report: Infectious prophylaxis in hematological malignancies.

HBV reactivation myelofibrosis prophylaxis ruxolitinib tenofovir

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2023
Historique:
received: 10 02 2023
accepted: 17 04 2023
medline: 18 5 2023
pubmed: 18 5 2023
entrez: 17 5 2023
Statut: epublish

Résumé

Patients with hematological malignancies and past serological evidence of hepatitis B are at risk for HBV reactivation. In myeloproliferative neoplasms, continuous treatment with the JAK 1/2 inhibitor ruxolitinib confers a moderate risk of reactivation (1-10%); nevertheless, no prospective randomized data are available to strongly recommend HBV prophylaxis in these patients. Here, we report a case of primary myelofibrosis and past serological evidence of HBV infection, treated with ruxolitinib and concomitant lamivudine, developing HBV reactivation due to premature withdrawal of prophylaxis. This case underlines the potential need for persistent HBV prophylaxis in the setting of ruxolitinib treatment.

Identifiants

pubmed: 37197426
doi: 10.3389/fonc.2023.1163175
pmc: PMC10183604
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1163175

Informations de copyright

Copyright © 2023 Passucci, Masucci, Paoletti, Ielo, Costa, Carmosino, Scalzulli, Martelli, Gentile and Breccia.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Mauro Passucci (M)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Chiara Masucci (C)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Francesca Paoletti (F)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Claudia Ielo (C)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Alessandro Costa (A)

Hematology Unit, Businco Hospital, ARNAS G. Brotzu, Cagliari, Italy.

Ida Carmosino (I)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Emilia Scalzulli (E)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Maurizio Martelli (M)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Giuseppe Gentile (G)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Massimo Breccia (M)

Department of Translational and Precision Medicine, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy.

Classifications MeSH