Enterococcus avium Infection After Liver Transplantation in Vietnam: A Case Report

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-01-01 DOI:10.1016/j.transproceed.2024.11.020

Ngo Dinh Trung , Nguyen Chi Tam , Dao Trong Chinh , Ho Nam , Nguyen Duc Trung , Le Thi Phuong Thao , Patrice N. Marche , Hoang Xuan Su

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引用次数: 0

Abstract

Background

The infectious complications are the most common and can be life-threatening to liver transplant recipients, in particular, within the first month after transplantation. Early diagnosis of these severe complications and accurate detection of causative etiologies are crucial for the choice of therapeutic strategies and management of liver transplants.

Case report

We present a case report of a patient with a history of primary sclerosing cholangitis who underwent a liver transplantation (LT) from a living donor. The postoperative care was complicated with the hepatic artery thrombosis on day 16 and then the presence of sepsis on day 22 and intra-abdominal abscess on day 30, caused by Enterococcus avium (E. avium). The patient was treated with stent placement for hepatic artery thrombosis, percutaneous drainage of the abscess, and used an intensive intravenous antibiotic regimen with a combination of fosfomycin and vancomycin for a duration of 14 days. After the interventional procedure, the clinical examination and laboratory findings became normal and the patient left the hospital on day 46 in good general condition.

Conclusion

We diagnosed early and well-recognized complications during the perioperative care to make a prompt therapeutic approach with conservative treatment to rescue the patient without requiring urgent surgery and retransplantation.

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越南肝移植术后禽肠球菌感染1例报告。

背景：感染性并发症是肝移植受者最常见的并发症，尤其在移植后的第一个月内可能危及生命。这些严重并发症的早期诊断和病因的准确检测对肝移植治疗策略的选择和管理至关重要。病例报告：我们提出了一个病例报告的病人与原发性硬化性胆管炎的历史，谁接受了肝移植（LT）从活体供体。术后第16天出现肝动脉血栓形成，第22天出现脓毒症，第30天出现腹腔内脓肿，均为鸟肠球菌所致。患者接受肝动脉血栓支架置入术治疗，经皮穿刺引流脓肿，并使用磷霉素和万古霉素联合强化静脉注射抗生素方案，持续14天。介入手术后，临床检查和实验室检查结果正常，患者于第46天出院，一般情况良好。结论：我们在围手术期护理中及早诊断出并发症，及时采取保守治疗，挽救患者，无需紧急手术和再移植。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.