{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:33:01Z","timestamp":1761863581308,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,5,24]]},"abstract":"<jats:p>Advances in the treatment of chronic hepatitis C (HCV) have given HCV providers access to treatment regimens able to achieve sustained virological response (SVR or \u2018cure\u2019) in the majority of patients. There are, however, groups of patients in whom HCV treatment outcomes with direct acting antivirals (DAAs) are suboptimal (genotype (GT) 3 patients, decompensated cirrhosis, renal failure) or have not been studied in large cohorts (patients with cryoglobulinaemia (CG)). This case outlines the successful eradication of GT-3 hepatitis C (HCV) in a patient with decompensated cirrhosis and renal failure secondary to mixed CG with DAA failure, using a 12-week course of sofosbuvir, ledipasvir and ribavirin. The achievement of SVR in this patient resulted in significant improvement in hepatic and renal function. Patients with decompensated cirrhosis and GT-3 disease remain a difficult to treat population, and the safety and efficacy of sofosbuvir, ledipasvir and ribavirin in this cohort require further study.<\/jats:p>","DOI":"10.1136\/bcr-2016-215293","type":"journal-article","created":{"date-parts":[[2016,6,9]],"date-time":"2016-06-09T22:00:22Z","timestamp":1465509622000},"page":"bcr2016215293","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Successful treatment of hepatitis C, genotype 3, with sofosbuvir\/ledipasvir in decompensated cirrhosis complicated by mixed cryoglobulinaemia"],"prefix":"10.1136","volume":"2016","author":[{"given":"Jennifer A","family":"Flemming","sequence":"first","affiliation":[{"name":"Department of Medicine, Queen's University, Kingston, Ontario, Canada"},{"name":"Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine E","family":"Lowe","sequence":"additional","affiliation":[{"name":"Department of Medicine, Queen's University, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,6,9]]},"reference":[{"key":"2025082803360008000_2016.jun09_1.bcr2016215293.1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/hep.27892","article-title":"Difficult-to-cure populations with chronic hepatitis C: vanishing in the direct-acting antiviral era?","volume":"62","author":"Terrault","year":"2015","journal-title":"Hepatology"},{"key":"2025082803360008000_2016.jun09_1.bcr2016215293.2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.28297"},{"key":"2025082803360008000_2016.jun09_1.bcr2016215293.3","unstructured":"Gane EJ , Hyland RH , An D , et al . High efficacy of LDV\/SOF regimens for 12 weeks for patients with HCV genotype 3 or 6 infection. [Abstract LB11.] 65th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD); November 7\u201311, 2014; Boston, MA."},{"key":"2025082803360008000_2016.jun09_1.bcr2016215293.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2016.01.029"},{"key":"2025082803360008000_2016.jun09_1.bcr2016215293.5","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2015.05.010"},{"key":"2025082803360008000_2016.jun09_1.bcr2016215293.6","doi-asserted-by":"publisher","DOI":"10.1111\/liv.13102"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-215293","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:36:11Z","timestamp":1756377371000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-215293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,9]]},"references-count":6,"alternative-id":["10.1136\/bcr-2016-215293"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-215293","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,6,9]]}}}