Unusually rapid development of a HBsAG-positive liver cirrhosis after liver transplantation |
| |
Authors: | H -U Lautz R Müller C Wittekind S Mauz H Barg-Hock B Ringe R Pichlmayr F W Schmidt |
| |
Institution: | (1) Abteilung Gastroenterologie u. Hepatologie im Zentrum Innere Medizin und Dermatologie, Germany;(2) Pathologisches Institut, Germany;(3) Klinik für Abdominal- und Transplantationschirurgie Medizinische Hochschule Hannover, Germany |
| |
Abstract: | Summary We report the case of a 44-year-old man who was transplanted in 1986 for hepatocellular carcinoma in a HBsAG-positive liver cirrhosis. The patient had no severe complications postoperatively. He received passive immunization for the prevention of hepatitis B reinfection during the first 6 months after liver grafting. Twelve months after the transplantation the new liver was reinfected with hepatitis B virus. Without any clinical or laboratory signs of severe hepatitis, the patient developed a histologically proven complete liver cirrhosis within 8 months after reinfection of the graft. The reasons for this might have been, first, a deleterious course of the infection under immunosuppressive therapy, and, second, the additional influence of a postoperatively acquired CMV infection or the combined toxic influence of cyclosporin A and its metabolites on the acute inflammation in the liver.Abbreviations ALT
Alanine aminotransferase (EC No 2.6.1.2)
- AST
Aspartate aminotransferase (EC No 2.6.1.1)
- CMV
Cytomegalo virus
- EBV
Ebstein-Barr virus
- ELISA
Enzyme linked immunosorbentassay
- HBV
Hepatitis B virus
- HLA
Human leukocyte antigen
- HSV
Herpes simplex virus |
| |
Keywords: | Liver cirrhosis Liver transplantation Hepatitis B |
本文献已被 SpringerLink 等数据库收录! |