Abstract

Long and short term side effects of antiretroviral drugs are not fully understood yet. Here a case of reversible blood count changes following post exposure prophylaxis with tenofovir/emtricitabin and lopinavir/ritonavir is reported. We propose that antiretroviral drugs used in post exposure prophylaxis may have a significant impact on hematopoiesis.

Highlights

  • Needle prick injury is common in clinical practice

  • We report a case of reversible leukopenia and thrombocytopenia following a 28 days course of post exposure prophylaxis with tenofovir/emtricitabin and lopinavir/ritonavir

  • After stratification of benefits and risks, no further invasive clarification of pathogenicity was initiated. Cytopenia such as anemia, thrombocytopenia, neutropenia or lymphopenia is a known effect of Human immunodeficiency virus (HIV) and Acquired immunodeficiency syndrome (AIDS) status is an identified risk factor

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Summary

Introduction

Needle prick injury is common in clinical practice. In order to prevent HIV infection, post exposure prophylaxis (PEP) is considered in situations with potential risk of infection [1,2]. In order to prevent HIV infection, post exposure prophylaxis (PEP) is considered in situations with potential risk of infection [1,2]. We report a case of reversible leukopenia and thrombocytopenia following a 28 days course of post exposure prophylaxis with tenofovir/emtricitabin and lopinavir/ritonavir. Case presentation A 56 years old male patient presented after occupational needle prick injury.

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