Paciente con abuso de alcohol, infección por el VIH y hepatitis crónica C

Objective
Chronic HCV infection is frequent among HIV infected patients, especially in those with background of injecting drug use. The clinical management of alcohol abuse in these patients is complex and treatment of alcoholism and substance abuse treatment is a key issue for reducing morbidity and mortality.

Material and methods
The case of a 44-year-old male with alcohol abuse and HCV/HIV coinfection is examined. A detailed toxicological and clinical history is described and a review made on the alcohol abuse treatment and general management of HCV/HIV coinfected patients.

Results
Priority is given to the treatment of alcohol abuse and better control adherence to HIV treatment in order to improve the immunological and virological condition. Further, the eligibility of the patients for HCV antiviral therapy with interferon and ribavirin is reviewed.

Conclusions
Clinical management of alcohol abuse and other substances is essential for the clinical control of HCV/HIV coinfected patients.