Complicated atazanavir-associated cholelithiasis: a report of 14 cases

Clin Infect Dis. 2012 Nov;55(9):1270-2. doi: 10.1093/cid/cis620. Epub 2012 Jul 19.

Abstract

Fourteen human immunodeficiency virus (HIV)-infected patients receiving an atazanavir (ATV)-based antiretroviral regimen developed complicated cholelithiasis. ATV was found in biliary calculi in 8 of 11 cases: infrared spectrometry analysis of calculi revealed that ATV made up a median of 89% (range, 10%-100%) of the total calculus composition. Development and management of ATV-associated cholelithiasis are discussed.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-HIV Agents / administration & dosage
  • Anti-HIV Agents / adverse effects*
  • Atazanavir Sulfate
  • Calculi / chemistry
  • Cholelithiasis / chemically induced*
  • Cholelithiasis / pathology*
  • Female
  • HIV Infections / complications*
  • HIV Infections / drug therapy*
  • Humans
  • Male
  • Middle Aged
  • Oligopeptides / administration & dosage
  • Oligopeptides / adverse effects*
  • Pyridines / administration & dosage
  • Pyridines / adverse effects*
  • Spectrophotometry, Infrared

Substances

  • Anti-HIV Agents
  • Oligopeptides
  • Pyridines
  • Atazanavir Sulfate