タニアイ　マキコ   TANIAI Makiko   谷合　麻紀子    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	An intensive medical care network led to successful living-donor liver transplantation in late-onset hepatic failure with disseminated Staphylococcus aureus infection
掲載誌名	正式名：Clinical journal of gastroenterology 略　 称：Clin J Gastroenterol ISSNコード：(1865-7265)1865-7265(Linking)
掲載区分	国外
巻・号・頁	12(2),pp.112-119
著者・共著者	KURE Rie†, UEHARA Natsumi, INOUE Kazuyuki, KOGISO Tomomi, KODAMA Kazuhisa, TANIAI Makiko, TOKUSHIGE Katsutoshi, NAKAO Masayuki, EGAWA Hiroto, YAMAMOTO Masakazu
発行年月	2019/04
概要	Here, we describe a 42-year-old male patient with late-onset hepatic failure (LOHF) due to acute-onset autoimmune hepatitis. At first, his response to steroid therapy was good, but hepatitis relapsed during steroid pulse therapy. Deterioration of liver function caused LOHF, and LOHF has a poor prognosis, particularly when it is complicated by infection. Systemic infection by Staphylococcus aureus resulted in a skin rash and septic pulmonary embolism, and is an absolute contraindication for liver transplantation (LT). In this treatment network, hepatologists and a transplant surgeon cooperated to overcome severe infection and their efforts led to successful transplantation. On-line hemodiafiltration is an indispensable treatment option for acute liver failure. Infection control is crucial for LT and an intensive medical care network led to successful living-donor LT.
DOI	10.1007/s12328-018-0904-y
PMID	30218430