Successful natural interferon-β plus ribavirin therapy in a chronic hepatitis C patient after discontinuation of interferon-α treatment due to arrhythmia and interstitial pneumonia

Clin J Gastroenterol. 2014 Aug;7(4):355-60. doi: 10.1007/s12328-014-0500-8. Epub 2014 Jun 6.

Abstract

A 71-year-old female patient with hepatitis C virus genotype 1 had previously discontinued interferon (IFN)-α plus ribavirin therapy, pegylated IFN-α (pegIFN-α) monotherapy, and natural IFN-α monotherapy because of arrhythmia, interstitial pneumonia, and severe neurovegetative symptoms. She subsequently completed 72 weeks of natural IFN-β plus ribavirin therapy without remarkable adverse effects and achieved a sustained viral response, suggesting differences in the pharmacological properties and biological effects of IFN-α and IFN-β. Thus, natural IFN-β plus ribavirin therapy may be a treatment option for patients with poor tolerance to IFN-α or pegIFN-α treatments.

Keywords: Adverse effect; Arrhythmia; Hepatitis C; Interferon-β; Interstitial pneumonia.

Publication types

  • Case Reports

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Arrhythmias, Cardiac / chemically induced
  • Drug Therapy, Combination
  • Female
  • Hepatitis C, Chronic / drug therapy*
  • Humans
  • Interferon-alpha / adverse effects
  • Interferon-beta / therapeutic use*
  • Lung Diseases, Interstitial / chemically induced
  • Middle Aged
  • Remission Induction
  • Ribavirin / therapeutic use*

Substances

  • Antiviral Agents
  • Interferon-alpha
  • Ribavirin
  • Interferon-beta