C KD with HCV

, a patient of CKD-V , on twice in a week HD , patient presented with HCV , reports are as under: Chief Complaints a patient of CKD-V , on twice in a week HD , patient presented with HCV , reports are as under: History Pt came for hepatology consultation in view of CKD on HD Vitals Afebrile, BP 156,88, PR 96 Physical Examination P+,E+, chest bibasal crepts , CVS no friction rub, PA FF+, CNS no HE Investigations Attached Diagnosis CKD with HCV Management Kindly suggest

1 Like

LikeAnswersShare

This looks like a acute infection of HCV. So no treatment for HCV as of now but once this acute phase subsided we can definitely go for HCV genotype and viral load assessment followed by the corresponding treatment for the patient. Just conservative management along with HD as per the schedule of the patient.

Thank you doctor
0

Adv: HCV RNA quatitative, HCV genotype, Thyroid profile, PT INR You can start him on Sofosbuvir/Velpatasvir plus Ribavirin(dose adjustment) for 12 weeks. Repeat HCV RNA after 12 weeks.

Valuable opinion
1

A c/o CKD with HCV +ve KFTS suggest pt is in decompensated renal functions Yes agreed with collouge to go for HCV RNA quantitative No definite mx Yes sofosbuvir and velpatasavir I agree to line suggested by dr jasmare singh

Thank you doctor
0

You should go for HCV RNA level then start treatment in modified dose for HCV

Thank you doctor
0

Do HCV RNA, if comes +ve then start on Sofosbuvir 400mg daily + Velpatasavir 100mg daily X 12 weeks... repeat test after 12 weeks. Add ribavirin only if there is an associated liver decompensation.. Since pt. is already on dialysis, dose of ribavirin shouldnt exceed 200mg OD. Keep an eye on hb n cardiac health.

Valuable opinion
0

Cases that would interest you