A patient in Japan with HIV began antiretroviral therapy because of acute hepatitis B virus (HBV) 15 years ago, with low hepatitis B surface antibody, and experienced breakthrough HBV reactivation 4 months after switching from bictegravir/emtricitabine/tenofovir alafenamide to cabotegravir/rilpivirine. An immune escape mutation, E164V, was identified in the isolated HBV DNA.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11286062PMC
http://dx.doi.org/10.3201/eid3008.240019DOI Listing

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