An unusual case of recurrent pancreatitis in a human immunodeficiency virus patient

Acute pancreatitis (AP) is a rare but life-threatening complication in human immunodeficiency virus (HIV) patients and poses great challenge in management. Drug toxicity and opportunistic infections (OIs) are the most frequently observed causes of pancreatitis in HIV patients in addition to the presence of comorbidities such as alcoholism, biliary disease and hypertriglyceridemia. Here, we report a case of acute-on chronic recurrent pancreatitis induced by nucleoside reverse transcriptase inhibitors and ritonavir which is successfully managed with unboosted atazanavir in combination with backbone regimen.