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Because of shared routes of transmission, dual infection with hepatitis B virus (HBV) and hepatitis C virus (HCV) is sometimes seen in HIV-positive patients. Development of these two types of viral hepatitis can result in liver disease that is more severe than that caused by either virus alone. In HIV-negative patients, HBV and HCV appear to inhibit each other reciprocally; that is, replication of one type of virus appears to predominate over the other, perhaps because of viral interference. If this reciprocal interaction occurs in HIV-positive patients and one hepatitis virus holds the other in check, does treatment for one type result in rebound of the other?
Investigators in Spain identified 21 HIV-infected patients who were positive for …