Abstract: Four months after chemotherapy, despite ongoing LAM of 7-month duration with confirmed adherence, severe asymptomatic
hepatitis was noted during routine monitoring with ALT 1019 IU/L,
HBeAg negative, HBV DNA 1.43E7 IU/mL, and genotyping confirmed
L80I and
M204I mutations.
Conclusion: HBeAg remained negative, and genotyping with the INNO-LIPA assay confirmed
L80I and
M204I mutations, conferring lamivudine resistance.