タニアイ マキコ
  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 査読無し
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),112-119頁
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