Early Post-liver Transplantation Fever in a Child
نویسنده
چکیده
A2.5-year-old girl underwent orthotopic liver transplantation (OLT) for cirrhosis secondary to progressive familial intrahepatic cholestasis. She was well until five days posttransplantation when she developed fever (up to 39 °C). At that time, she was receiving tacrolimus, cellcept and prednisolone. Her laboratory findings revealed a serum ALT of 70 IU/L, AST of 75 IU/L, Alk-P of 560 IU/L, and a total bilirubin of 2 mg/dL with a direct bilirubin of 0.7 mg/dL. Epstein-Barr virus capsid antigen and cytomegalovirus IgM were negative. Blood culture for fungus and bacteria were also negative. Photomicrograph of the biopsy is shown in Figure 1.
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A Feverish Liver Transplanted Child
A 5-year-old boy underwent orthotopic liver transplantation (OLT) for cirrhosis secondary to tyrosinemia. His immediate post-transplant course was unremarkable. After five months, he developed fever (T >38 °C). At that time, he was receiving tacrolimus, cellcept and prednisolone. His laboratory findings revealed an ALT of 85 IU/L, AST 86 IU/L, Alk-P 730 IU/L, total billirubin of 2.5 and direct ...
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