PMC5274689_01
Timeline of laboratory tests demonstrating HEV viral load and derangement of liver function following commencement of R-CHOP chemotherapy. Following initial improvement with stopping of chemotherapy, worsening of liver function was observed. Full eradication and normalisation of liver enzymes were subsequently achieved following ribavirin treatment.
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fig1
As the patient was asymptomatic he was initially managed by withholding consolidation R.CHOP chemotherapy and close monitoring of his liver function (October 2014, see Figure 1.). Viral load fell to 3700 iU/mL within one month of treatment (Figure 1).