Bictegravir/emtricitabine/tenofovir alafenamide-induced acute pancreatitis: a case report

Author:

Riva Agostino1,Cattaneo Dario23ORCID,Filice Carlo4,Gervasoni Cristina12ORCID

Affiliation:

1. Department of Infectious Diseases, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy

2. Gestione Ambulatoriale Politerapie (GAP) Outpatient Clinic, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy

3. Unit of Clinical Pharmacology, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy

4. Infectious Diseases Department, San Matteo Hospital Foundation, University of Pavia, Pavia, Italy

Abstract

We report here the case of a 32-year-old male with recent diagnosis of HIV that, 45 days after starting a single tablet regimen co-formulated with bictegravir, emtricitabine and tenofovir alafenamide (BIC/FTC/TAF), experienced severe epigastric pain radiating to the back, nausea, episodes of non-bloody non-bilious vomiting and anorexia. Laboratory examination showed a rise in lipase with no alterations in serum transaminases. Abdominal ultrasound revealed a non-homogeneous structure of the pancreatic parenchyma. A diagnosis of mild drug-related acute pancreatitis was made and BIC/FTC/TAF was immediately stopped. The association between the episode of acute pancreatitis and BIC/FTC/TAF was scored as probable according to the Naranjo causality scale.

Publisher

SAGE Publications

Subject

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

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1. Role of the pharmacist caring for people at risk of or living with HIV in Canada;Canadian Pharmacists Journal / Revue des Pharmaciens du Canada;2024-08-02

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3. Antiviral drugs;Side Effects of Drugs Annual;2021

4. Bictegravir/emtricitabine/tenofovir-alafenamide;Reactions Weekly;2020-10

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