Psychosis in a 12-year-old HIV-positive girl with an increased serum concentration of efavirenz

Elizabeth A. Lowenhaupt, University of Rhode Island Feinstein Providence Campus
Kelly L. Matson, University of Rhode Island Feinstein Providence Campus
Bushra Qureishi, University of Rhode Island Feinstein Providence Campus
Akihiko Saitoh, University of California, San Diego
David Pugatch, University of Rhode Island

Abstract

Clearance and adverse effects of efavirenz are associated with CYP2B6-G516T polymorphism. Little is known about the prevalence of genotypes and implications for screening in children. We report (to our knowledge, for the first time in a child) the emergence of psychosis in a 12-year old white girl with an increased efavirenz concentration and heterozygous gene polymorphism of the CYP2B6-G516T. © 2007 by the Infectious Diseases Society of America. All rights reserved.