Clinical care versus ethical obligations: HIV-1 and -2 co-infection with hepatitis B in a pregnant Jehovah's Witness

Co-infection with HIV-1 and -2 is rare, even in west Africa. We present the case of a 38-year-old pregnant Jehovah's Witness presenting late in pregnancy with triple infection with HIV-1, HIV-2 and hepatitis B virus. There was a successful outcome in averting vertical transmission despite objec...

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Bibliographic Details
Published inInternational journal of STD & AIDS Vol. 23; no. 7; p. e5
Main Authors Quinn, K J, McCarty, E J, Dinsmore, W M, Quah, S P
Format Journal Article
LanguageEnglish
Published England 01.07.2012
Subjects
Coinfection - virology
Female
Health Knowledge, Attitudes, Practice
Hepatitis B Antibodies
Hepatitis B, Chronic - diagnosis
Hepatitis B, Chronic - drug therapy
Hepatitis B, Chronic - virology
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - virology
HIV-1 - isolation & purification
HIV-2 - isolation & purification
Humans
Jehovah's Witnesses
Pregnancy
Pregnancy Complications, Infectious - virology
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Summary:Co-infection with HIV-1 and -2 is rare, even in west Africa. We present the case of a 38-year-old pregnant Jehovah's Witness presenting late in pregnancy with triple infection with HIV-1, HIV-2 and hepatitis B virus. There was a successful outcome in averting vertical transmission despite objections to management based on religious and cultural beliefs.
ISSN:1758-1052
DOI:10.1258/ijsa.2009.009457