Depression associated with antiretroviral drug therapy in HIV: case report and overview

Author:

Kaestner F1,Anneken K2,Mostert C1,Reichelt D3,Rothermundt M1,Evers S2,Husstedt I W2

Affiliation:

1. Department of Psychiatry

2. Department of Neurology

3. Department of Internal Medicine D, University of Muenster, Albert-Schweitzer-Str. 11, D-48129 Muenster, Germany

Abstract

Depression is the main psychiatric symptom in patients living with HIV. Genetic predisposition, stress from disease as well as the antiretroviral therapy itself are discussed as pathogenic factors. We report a 35-year-old HIV-positive man suffering from bipolar disorder who developed major depression shortly after commercing combination antiretroviral therapy (cART) on three occasions. The first two times the patient ceased therapy autonomously, and the depression disappeared completely. The close connection between cART and major depression in the present case supports the depression-inducing potential of cART. Additionally, we present an overview of literature.

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

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