Occurrence of stavudine-induced lactic acidosis in 3 members of an African family.

Partners in Hope Medical Center, Lilongwe, Malawi, Africa.
Journal of the International Association of Physicians in AIDS Care (JIAPAC) 08/2010; 9(4):236-9. DOI: 10.1177/1545109710373830
Source: PubMed

ABSTRACT Fixed-dose combinations containing stavudine have played a critical role in the worldwide scale-up of antiretroviral therapy, but increasing concern exists regarding adverse events due to mitochondrial toxicity. We describe the first reported occurrence of lactic acidosis within a family of 3 HIV-infected individuals. This report is only the second of lactic acidosis affecting an African child. Further research is indicated to identify possible genetic and other risk factors underlying mitochondrial toxicity in African populations, especially among pediatric cohorts.

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