Falla hepática fulminante por virus hepatitis B en paciente coinfectado por VIH: un desafío terapéutico. Caso clínico / Fulminant hepatic failure by hepatitis B virus in a patient with human immunodeficiency virus infection: Report of one case

The human immunodeficiency virus (HIV) and hepatitis B virus (HBV) co-infection is a common problem in the world, with an estimated prevalence of up to 8 percent. We report a 27-year-old man admitted to the intensive care unit with an acute liver failure by HBV. During hospital stay, a co-infection with HIV virus was detected. Treatment with early antiviral therapy was started with emtricitabine, tenofovir and raltegravir, to cover both HBV and HIV. Despite therapy, the patient died two weeks after admission.