Abstract
Of the 240 million persons infected with chronic hepatitis B worldwide, an estimated 15–20 million are coinfected with HDV, 2–9 million are coinfected with HCV, and 24–48 million coinfected with HIV. Triple infections (i.e., HIV/HBV/HDV, HIV/HBV/HCV, or HBV/HCV/HDV) are less common and most frequently identified in high-intermediate HBV endemic regions, especially in high-risk individuals, i.e., persons who inject drugs (PWID) and men who have sex with men (MSM). The importance of recognizing HBV patients with HCV and HDV coinfections lies in the altered natural history and the higher risk of progressing to cirrhosis and/or developing HCC. Additionally, treatment of HBV in patients with coinfection is more complex, as treatment of HBV may have an influence on the viral activity of the other viral co-pathogen. As well as special considerations with therapy.
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Coffin, C.S., Terrault, N.A. (2018). Treatment of HCV, HDV, or HIV Coinfection. In: Kao, JH., Chen, DS. (eds) Hepatitis B Virus and Liver Disease. Springer, Singapore. https://doi.org/10.1007/978-981-10-4843-2_13
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