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Co-Occurring Conditions.

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Hepatitis B CoinfectionQuestion 9/10

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A 58-year-old man with HIV and chronic hepatitis B virus (HBV) coinfection has been taking dolutegravir and tenofovir DF-emtricitabine for approximately 4 years with suppressed HIV RNA and HBV DNA levels. Laboratory studies performed 4 months ago showed a CD4 count of 610 cells/mm3 and alanine aminotransferase (ALT) level of 22 U/L. At the visit today, he informs you he stopped taking the antiretroviral medications about 7 weeks ago. For the past weekhe has experienced fatigue, nausea, and right upper quadrant pain. His laboratory studies show an ALT level of 465 U/L, HBV DNA level of 880,500 IU/mL, and HIV RNA level of 17,900 copies/mL.

Which one of the following would you recommend to address the hepatitis flare?

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Question Last Updated
February 1st, 2025

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