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Pediatric Infectious Disease Journal 2009-Dec

Twin preterm neonates with cardiac toxicity related to lopinavir/ritonavir therapy.

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Monica A McArthur
Stella U Kalu
Arlen R Foulks
Ashraf M Aly
Sunil K Jain
Janak A Patel

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Abstract

We report twin neonates who were born prematurely at 32 weeks of gestation to a mother with human immunodeficiency virus infection. One of the twins developed complete heart block and dilated cardiomyopathy related to lopinavir/ritonavir therapy, a boosted protease-inhibitor agent, while the other twin developed mild bradycardia. We recommend caution in the use of lopinavir/ritonavir in the immediate neonatal period.

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