Treatment of Hepatitis C in a Case of Pediatric B-Cell Acute Leukemia.

Authors :: Jakhar N
Gera A
Mittal R
Mehndiratta S
Shalimar
Singh A
Source :: Journal of global infectious diseases [J Glob Infect Dis] 2021 Aug 03; Vol. 14 (1), pp. 35-37. Date of Electronic Publication: 2021 Aug 03 (Print Publication: 2022).
Publication Year :: 2021
Abstract: The prevalence of hepatitis C virus (HCV) infection in Pediatric patients with lymphoproliferative diseases has most commonly been reported with B cell Non-Hodgkin lymphoma. Case studies have reported the requirement of dose reduction or suspension of chemotherapy in 80% of Pediatric ALL cases who are anti-HCV positive owing to hepatotoxicity. The standard of care anti HCV therapy in children aged 3-17 years had been peginterferon and ribavirin for 48 weeks. FDA approved pan-genotypic, anti- HCV regimen, sofosbuvir/velpatasvir [SOF/VEL], for the Pediatric population >6yrs of age or >17 kg body weight in March 2020. We herein report a case of an HCV infected Pediatric B cell ALL patient who was treated with SOF/VEL concomitantly with an intensive chemotherapy regimen. Child tolerated the full dose chemotherapy along with antivirals for 12 weeks and was in morphological remission with sustained virological response.<br />Competing Interests: There are no conflicts of interest.<br /> (Copyright: © 2022 Journal of Global Infectious Diseases.)