RT Journal Article T1 Ribavirin as a First Treatment Approach for Hepatitis E Virus Infection in Transplant Recipient Patients A1 Rivero-Juarez, Antonio A1 Vallejo, Nicolau A1 Lopez-Lopez, Pedro A1 Díaz-Mareque, Ana Isabel A1 Frias, Mario A1 Vallejo, Aldara A1 Caballero-Gómez, Javier A1 Rodríguez-Velasco, María A1 Molina, Esther A1 Aguilera, Antonio K1 HEV K1 Treatment K1 Zoonoses K1 Ribavirin K1 Transplant K1 Virus de la hepatitis E K1 Terapéutica K1 Zoonosis K1 Ribavirina K1 Trasplantes AB The hepatitis E virus (HEV) is the major cause of acute hepatitis of viral origin worldwide. Despite its usual course as an asymptomatic self-limited hepatitis, there are highly susceptible populations, such as those with underlying immunosuppression, which could develop chronic hepatitis. In this situation, implementation of therapy is mandatory in the sense to facilitate viral clearance. Currently, there are no specific drugs approved for HEV infection, but ribavirin (RBV), the drug of choice, is used for off-label treatment. Here, we present two cases of chronic HEV infection in transplant patients, reviewing and discussing the therapeutic approach available in the literature. The use of RBV for the treatment of an HEV infection in organ transplant patients seems to be effective. The recommendation of 12 weeks of therapy is adequate in terms of efficacy. Nevertheless, there are important issues that urgently need to be assessed, such as optimal duration of therapy and drug dosage. PB MDPI YR 2019 FD 2019-12-26 LK http://hdl.handle.net/10668/3849 UL http://hdl.handle.net/10668/3849 LA en NO Rivero-Juarez A, Vallejo N, Lopez-Lopez P, Díaz-Mareque AI, Frias M, Vallejo A, et al. Ribavirin as a First Treatment Approach for Hepatitis E Virus Infection in Transplant Recipient Patients. Microorganisms. 2019 Dec 26;8(1):51 DS RISalud RD Apr 7, 2025