[Adenovirus-related acute liver failure treated with intravenous immunoglobulin].

Melisa Zavala-Rodríguez, Marco Antonio Martínez-Triana, María Del Rocío Hernández-Morales, Rubén Peña-Vélez
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引用次数: 0

Abstract

Background: Acute liver failure in pediatric age is a serious multisystem disease, characterized by a failure of the synthesis and detoxification function of the liver. Among the etiologies, viral infection should be investigated. Treatment is supportive and some cases require liver transplantation.

Case report: A 2-year-old girl was admitted for acute liver failure. The PCR viral panel was positive for Adenovirus 41 and IgG antibodies to SARS-CoV-2 were also found. Supportive treatment was started without improvement, so intravenous immunoglobulin was administered, with resolution of the liver failure.

Conclusions: Immunoglobulin has immunomodulatory mechanisms in children with severe acute hepatitis of infectious etiology, so in some cases, its administration can be considered as adjuvant therapy.

[用静脉注射免疫球蛋白治疗腺病毒相关急性肝衰竭]。
背景:儿科急性肝衰竭是一种严重的多系统疾病,其特点是肝脏的合成和解毒功能衰竭。在各种病因中,病毒感染应予调查。病例报告:一名两岁女童因急性肝功能衰竭入院。PCR 病毒检测结果显示腺病毒 41 呈阳性,同时还发现了 SARS-CoV-2 的 IgG 抗体。开始进行支持性治疗后,情况未见好转,于是静脉注射免疫球蛋白,结果肝功能衰竭得到缓解:结论:免疫球蛋白对感染性重症急性肝炎患儿具有免疫调节机制,因此在某些情况下可将其作为辅助治疗。
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