Health & Medicinearticle2026-09-02

Risk of hepatitis B reactivation following corticosteroids for tuberculous meningitis

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Abstract

Abstract High-dose corticosteroids may cause reactivation or relapse of hepatitis B virus infection. We investigated the virologic and clinical consequences of 6-8 weeks dexamethasone in hepatitis B virus infected/exposed/unexposed HIV-negative adults with tuberculous meningitis enrolled into a placebo-controlled trial. Dexamethasone was not associated with viral reactivation or increased liver injury.

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View paper (DOI)Open access versionOpenAlexOpen Forum Infectious DiseasesPublished 2026-09-02

Authors: Joseph Donovan, Nguyen Thi Anh Thu, Nghia Ho Dang Trung, Nguyen Duc Bang, Dong Huu Khanh Trinh, Lam Hong Bao Ngoc, Pham Kieu Nguyet Oanh, Evelyne Kestelyn, Tran Thai Hung, Ronald B. Geskus, Nguyễn Thụy Thương Thương, N. H. Phu, Guy Thwaites

Institutions: University of Oxford, Vietnam National University Ho Chi Minh City, King's College London, Pham Ngoc Thach University of Medicine, Hospital for Tropical Diseases, Pham Ngoc Thach Hospital, Angkor Hospital for Children, Oxford University Clinical Research Unit