Acute leg ischaemia in an HIV-infected patient receiving antiretroviral treatment

Antivir Ther. 2017;22(1):89-90. doi: 10.3851/IMP3075. Epub 2016 Aug 22.

Abstract

An HIV-infected patient treated with tenofovir disoproxil fumarate/emtricitabine/elvitegravir/cobicistat developed severe acute ischaemia of both legs during a migraine episode. After being interrogated he admitted taking an ergotamine-containing preparation. Ergotism due to interaction between ergotics and cobicistat was diagnosed. We describe the first reported case of this interaction.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Anti-HIV Agents / administration & dosage
  • Anti-HIV Agents / adverse effects*
  • Cobicistat / administration & dosage
  • Cobicistat / adverse effects*
  • Drug Interactions
  • Drug Therapy, Combination
  • Ergotamine / administration & dosage
  • Ergotamine / adverse effects*
  • HIV Infections / complications*
  • HIV Infections / drug therapy*
  • Humans
  • Ischemia / etiology*
  • Leg
  • Male
  • Migraine Disorders / complications
  • Migraine Disorders / drug therapy

Substances

  • Anti-HIV Agents
  • Cobicistat
  • Ergotamine