HIV-1-infection in a man who has sex with men despite self-reported excellent adherence to pre-exposure prophylaxis, the Netherlands, August 2021: be alert to emtricitabine/tenofovir-resistant strain transmission

Jeffrey C. D. Koole, Feline de la Court, Matthijs R. A. Welkers, Kenneth Yap, Janneke E. Stalenhoef, Suzanne Jurriaans, Henry J. C. de Vries, Eline L. M. Op de Coul, Maria Prins, Elske Hoornenborg

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Abstract

In August 2021, a man who has sex with men was diagnosed with HIV-1 infection despite using eventdriven pre-exposure prophylaxis for over 2 years with self-reported excellent adherence. Sequencing identified resistance-associated mutations (RAM) M184V and K65R, conferring resistance to emtricitabine and tenofovir, and RAM V108I and E138A. Background RAM prevalence was two of 164 (1.2%) new HIV diagnoses in Amsterdam (2017-19). We reiterate the need for frequent HIV testing among PrEP users and additional testing in case of symptoms.
Original languageEnglish
JournalEuro surveillance
Volume27
Issue number14
DOIs
Publication statusPublished - 7 Apr 2022

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