Abstract
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.
References
Sep 1, 1991·The Journal of Surgical Research·S KatzJ L Grosfeld
Aug 17, 1999·Postgraduate Medical Journal·R GolpeM Alonso
Dec 2, 1999·Journal of Hepatology·F AlvarezM Zeniya
Sep 6, 2002·Asian Cardiovascular & Thoracic Annals·Qamar AbidSimon Kendall
Dec 28, 2002·Journal of Gastroenterology·Makoto YoshibaAkitaka Shibuya
Jun 30, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·William R KesslerPaul Y Kwo
Jul 9, 2005·Chest·Rachel J CookJay H Ryu
Nov 8, 2005·Internal Medicine Journal·R J Murray
Mar 21, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Philippe IchaiDidier Samuel
Aug 3, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Aldo J Montano-LozaAlbert J Czaja
Jan 4, 2012·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·William M LeeAnne M Larson
Nov 9, 2012·Critical Care : the Official Journal of the Critical Care Forum·Nicolas NesselerPhilippe Seguin
Nov 5, 2013·Respiratory Medicine·Rui YeHengyi Yan
Nov 26, 2013·Clinical Journal of Gastroenterology·Kazuhisa TakedaItaru Endo
Mar 13, 2014·International Reviews of Immunology·Jun YanShulin Li
Jan 8, 2015·American Journal of Infection Control·M G McCormackG Edwards
Jun 5, 2015·Journal of Clinical and Experimental Hepatology· Shalimar, Subrat K Acharya
Sep 1, 2015·European Heart Journal·Gilbert HabibUNKNOWN ESC Scientific Document Group
Jun 28, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Akihiko SoyamaHiroto Egawa
Mar 16, 2017·Clinical and Molecular Hepatology·Angela Cropley, Martin Weltman
Oct 17, 2017·Journal of Gastroenterology·Masamitsu NakaoSatoshi Mochida