Case Reports in Hepatology最新文献

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Postliver Transplantation Rhino-Orbital Mucormycosis, an Unexpected Cause of a Downhill Course 肝移植后鼻-眶毛霉菌病,一个意想不到的下坡过程的原因
Case Reports in Hepatology Pub Date : 2022-05-28 DOI: 10.1155/2022/5413315
Swapnali Sabhapandit, Mithun Sharma, A. Sekaran, B. Menon, A. Kulkarni, Soumya Tr, P. Nagaraja Rao, D. Nageshwar Reddy
{"title":"Postliver Transplantation Rhino-Orbital Mucormycosis, an Unexpected Cause of a Downhill Course","authors":"Swapnali Sabhapandit, Mithun Sharma, A. Sekaran, B. Menon, A. Kulkarni, Soumya Tr, P. Nagaraja Rao, D. Nageshwar Reddy","doi":"10.1155/2022/5413315","DOIUrl":"https://doi.org/10.1155/2022/5413315","url":null,"abstract":"The COVID-19 pandemic has impacted transplantation worldwide in a major way with infections and post-COVID-19 complications contributing to increased mortality and morbidity. We present a case of a 42-year-old lady who developed rhino-orbital mucormycosis in a postliver transplantation period. The initial presentation of the patient was very subtle. She never had overt COVID-19 infection before surgery and in the recovery period. Though cases of mucormycosis in the wound site have been reported, this would be one of the rare cases of rhino-orbital mucormycosis postliver transplantation. This infection leads to a rapid downhill course and the death of the patient. Atypical infections and presentations need to be monitored in postliver transplantation patients who are getting operated on during this pandemic, and a high level of clinical suspicion is required to pick up these cases at an early stage.","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73648393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma. 出血性休克的罕见病因:肝细胞癌胃壁破裂。
Case Reports in Hepatology Pub Date : 2022-03-12 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6560834
Naoki Ishimaru, Hirohisa Fujikawa, Kazuya Niwa, Yoshifumi Kobayashi
{"title":"A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma.","authors":"Naoki Ishimaru,&nbsp;Hirohisa Fujikawa,&nbsp;Kazuya Niwa,&nbsp;Yoshifumi Kobayashi","doi":"10.1155/2022/6560834","DOIUrl":"https://doi.org/10.1155/2022/6560834","url":null,"abstract":"<p><p>Ruptured hepatocellular carcinoma (HCC) can lead to peritoneal dissemination. However, gastric wall seeding from HCC is exceedingly rare, and little is known about its clinical course. Herein, we report a case of an 88-year-old man who presented with a four-hour history of nausea, vomiting, and upper abdominal pain. He has a history of ruptured HCC during surgery. The patient underwent an emergency laparotomy on account of haemorrhagic shock, which confirmed the diagnosis of ruptured HCC with gastric wall seeding. The findings from this study showed that the ruptured HCC can seed into the stomach wall, and the implanted lesions may rupture and lead to life-threatening haemorrhagic shock. Surgery is an effective treatment for bleeding from the implanted lesions.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":" ","pages":"6560834"},"PeriodicalIF":0.0,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8934241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40311981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment-Resistant Hepatitis C Viral Infection: A Case Report and Literature Review. 难治性丙型肝炎病毒感染1例报告及文献复习。
Case Reports in Hepatology Pub Date : 2022-03-11 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3556780
Victoria Green, Marina Roytman
{"title":"Treatment-Resistant Hepatitis C Viral Infection: A Case Report and Literature Review.","authors":"Victoria Green,&nbsp;Marina Roytman","doi":"10.1155/2022/3556780","DOIUrl":"https://doi.org/10.1155/2022/3556780","url":null,"abstract":"<p><p>Hepatitis C virus (HCV) is an ongoing global public health threat affecting millions worldwide. Increasing recognition of its impact and recent advances towards HCV prevention and cure have provided incentive for the World Health Organization to call for global elimination by 2030. The goal of therapy is to achieve a sustained virologic response (SVR-12), defined as undetectable HCV-RNA within 12 weeks after treatment completion. In 2011, approval was given for the first direct-acting antiviral agents (DAAs). More recently, in 2013, more effective DAAs, with pan-genomic properties, have been introduced, and these regimens boast increasing rates of SVR. The ultimate goal is that the history of HCV ends with the pan-genotypic efficacy of multiple, easy-to-use and tolerate, combination regimens. These regimens have already demonstrated the ability to cure previously challenging patient groups. However, limitations exist in the current portfolio of agents, with suboptimal outcomes for patients with HCV genotype 3. In addition to this, access to DAAs remains an obstacle for many patients. We present this case of a 61-year-old male with HCV genotype 3 who has had several treatment failures with standard HCV therapy who was eventually approved for compassionate use of a 16-week course of glecaprevir (GLE)/pibrentasvir (PIB), sofosbuvir (SOF), and ribavirin (RBV) which ultimately led to SVR-12.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":" ","pages":"3556780"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40308782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Possible Paternal Hepatitis B Virus Infection with Different Clinical Courses between Siblings: A Report of Two Cases 兄弟姐妹之间可能存在的不同临床病程的父亲乙型肝炎病毒感染:两例报告
Case Reports in Hepatology Pub Date : 2022-03-07 DOI: 10.1155/2022/5812135
Y. Sasaki, H. Kajino
{"title":"Possible Paternal Hepatitis B Virus Infection with Different Clinical Courses between Siblings: A Report of Two Cases","authors":"Y. Sasaki, H. Kajino","doi":"10.1155/2022/5812135","DOIUrl":"https://doi.org/10.1155/2022/5812135","url":null,"abstract":"The incidence of hepatitis B virus (HBV) infection is expected to decrease in the future owing to the preventive measures adopted against mother-to-child transmission of HBV and implementation of universal HBV vaccination for children. However, no countermeasure has been established against horizontal infection in nonvaccinated children. We report the case of two siblings who had different clinical courses of possible paternal HBV infection. The younger sibling developed acute hepatitis, whereas the older sibling was an asymptomatic HBV carrier. To eradicate HBV, HBV vaccination of all children and HBV infection screening of fathers and other family members should be encouraged.","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85336493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Plasmapheresis for Pembrolizumab-Induced Hepatitis in a Patient with Squamous Cell Carcinoma and Prior Orthotopic Liver Transplantation. 血浆置换治疗鳞状细胞癌和既往原位肝移植患者的肝炎。
Case Reports in Hepatology Pub Date : 2022-01-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5908411
Sanaa Al-Nattah, Kusum Lata Sharma, Matthew Caldis, Erin Spengler, William Nicholas Rose
{"title":"Plasmapheresis for Pembrolizumab-Induced Hepatitis in a Patient with Squamous Cell Carcinoma and Prior Orthotopic Liver Transplantation.","authors":"Sanaa Al-Nattah,&nbsp;Kusum Lata Sharma,&nbsp;Matthew Caldis,&nbsp;Erin Spengler,&nbsp;William Nicholas Rose","doi":"10.1155/2022/5908411","DOIUrl":"https://doi.org/10.1155/2022/5908411","url":null,"abstract":"<p><p>Checkpoint inhibitor therapy with monoclonal antibodies against programmed cell death protein 1 (PD1) has been implemented in the treatment of numerous malignancies. Pembrolizumab is one such medication. While severe toxicities are very rare, mild immune-mediated reactions with a variety of end organ injuries are among the most commonly encountered adverse events attributed to these medications. Acute liver injury manifesting as biochemical abnormalities with or without synthetic dysfunction is one such potential adverse reaction. Rarely, a relatively severe hepatitis can occur. While such severe adverse events are often successfully managed with systemic corticosteroids and drug discontinuation, our patient was refractory to standard management. We present a case of pembrolizumab-induced hepatitis in a patient with squamous cell carcinoma and prior orthotopic liver transplantation. Through a combination of serial plasmapheresis and intravenous immunoglobulin(IVIG) infusion, the patient's hepatitis resolved as evidenced by virtual normalization of his liver indices. This illustrates the effectiveness of a relatively novel treatment strategy for this rare side effect of checkpoint inhibitor antineoplastic therapy.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":" ","pages":"5908411"},"PeriodicalIF":0.0,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8799356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39872123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Escalation to Barbiturate-Induced Coma for Refractory Seizures after Liver Transplantation. 肝移植后顽固性癫痫发作升级至巴比妥酸盐诱导昏迷。
Case Reports in Hepatology Pub Date : 2022-01-10 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9311922
Brittany Miles, Muhammad Mujtaba, Shehzad Merwat, Rupak Kulkarni, Jeffrey Fair, Michael Kueht
{"title":"Escalation to Barbiturate-Induced Coma for Refractory Seizures after Liver Transplantation.","authors":"Brittany Miles,&nbsp;Muhammad Mujtaba,&nbsp;Shehzad Merwat,&nbsp;Rupak Kulkarni,&nbsp;Jeffrey Fair,&nbsp;Michael Kueht","doi":"10.1155/2022/9311922","DOIUrl":"https://doi.org/10.1155/2022/9311922","url":null,"abstract":"<p><p>Seizures after liver transplantation were previously thought to be a reliable harbinger of catastrophe, but more recent studies have found seizure activity to be relatively common, and most cases do not result in a poor outcome. Generalized seizures are the most common, and they typically occur de novo within the first two weeks after transplantation. The underlying cause for seizure activity in these patients may be complex, with potential etiologies including metabolic, infectious, cerebrovascular, and medication-induced causes. Identification of the underlying cause and the use of antiepileptic drugs (AEDs) is crucial for minimizing risk to the patient's neurologic and overall health. In this report, we present the case of a patient with refractory seizures unresponsive to conventional treatment, requiring prolonged barbiturate burst suppression with ventilator support. Seizure activity eventually ceased, and the patient made a full recovery.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":" ","pages":"9311922"},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39834027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
De Novo Autoimmune Hepatitis after COVID-19 Infection in an Unvaccinated Patient. 未接种疫苗患者COVID-19感染后自身免疫性肝炎的发生
Case Reports in Hepatology Pub Date : 2022-01-01 DOI: 10.1155/2022/8409269
Francisco A Durazo, Kelly Kristbaum, James Miller, Kia Saeian, Motaz Selim, Johnny C Hong
{"title":"De Novo Autoimmune Hepatitis after COVID-19 Infection in an Unvaccinated Patient.","authors":"Francisco A Durazo,&nbsp;Kelly Kristbaum,&nbsp;James Miller,&nbsp;Kia Saeian,&nbsp;Motaz Selim,&nbsp;Johnny C Hong","doi":"10.1155/2022/8409269","DOIUrl":"https://doi.org/10.1155/2022/8409269","url":null,"abstract":"<p><p>Liver test abnormalities have been described during severe acute respiratory syndrome coronavirus (SARS-CoV)-2 infection causing coronavirus disease 2019. Most of them consist of elevation of the aminotransferases that resolve once the infection subsides. There are several reports of autoimmune hepatitis developing after vaccination against COVID-19 and one case of autoimmune hepatitis following COVID-19 infection. We present a patient that was not vaccinated against COVID-19 and developed resistant de novo autoimmune hepatitis following COVID-19 infection requiring aggressive immunosuppression.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":"2022 ","pages":"8409269"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Cytomegalovirus Cholangiopathy in an Immunocompetent Patient: A Case Report and Literature Review. 免疫功能正常患者巨细胞病毒胆管病1例报告及文献复习。
Case Reports in Hepatology Pub Date : 2021-11-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2420668
Ervin Alibegovic, Admir Kurtcehajic, Boris Ilic, Ahmed Hujdurovic, Edinka Smajic, Amar Habibovic, Darja Perkunic
{"title":"Cytomegalovirus Cholangiopathy in an Immunocompetent Patient: A Case Report and Literature Review.","authors":"Ervin Alibegovic,&nbsp;Admir Kurtcehajic,&nbsp;Boris Ilic,&nbsp;Ahmed Hujdurovic,&nbsp;Edinka Smajic,&nbsp;Amar Habibovic,&nbsp;Darja Perkunic","doi":"10.1155/2021/2420668","DOIUrl":"https://doi.org/10.1155/2021/2420668","url":null,"abstract":"<p><p>A 37-year-old man presented with jaundice, upper right quadrant pain, and intermittent fever with chills. Laboratory assessment showed biliary stasis, with total bilirubin of 203 <i>µ</i>mol/L (2-20), conjugated bilirubin of 105 <i>µ</i>mol/L, and alkaline phosphatase of 556 U/L (30-120). Markers for hepatitis A-E viruses were negative. Serology assessment for rubeola, herpes simplex virus, Epstein-Barr virus, and <i>Toxoplasma gondii</i> showed negative IgM antibodies. HIV serology status was negative. For cytomegalovirus, both types of antibodies (IgM and IgG) were positive, with an IgM level >300 U/mL. pp65 antigen was also detected as well as CMV DNA. Diagnostic imaging of the abdomen except the dilated common bile duct showed a normal appearance of the gallbladder, liver, pancreas, spleen, and both kidneys. To our knowledge, cytomegalovirus cholangiopathy in the absence of any other underlying disease has not been reported. Therefore, the presence of cholangiopathy in our patient is interesting from an imaging, laboratory, and clinical point of view.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":"2021 ","pages":"2420668"},"PeriodicalIF":0.0,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8598330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39897528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Veillonella Bacteremia in Alcoholic Hepatitis. 酒精性肝炎中的细络菌菌血症。
Case Reports in Hepatology Pub Date : 2021-10-13 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9947213
Patrick Lee, Brandon K K Fields, Tom Liang, Michael P Dubé, Seth Politano
{"title":"<i>Veillonella</i> Bacteremia in Alcoholic Hepatitis.","authors":"Patrick Lee,&nbsp;Brandon K K Fields,&nbsp;Tom Liang,&nbsp;Michael P Dubé,&nbsp;Seth Politano","doi":"10.1155/2021/9947213","DOIUrl":"https://doi.org/10.1155/2021/9947213","url":null,"abstract":"<p><p><i>Veillonella</i> species are commensal bacteria of the human oral, gut, and vaginal microbiota that are rarely identified as clinically relevant pathogens. Here, we describe a novel case of <i>Veillonella atypica</i> bacteremia in a patient with biopsy-proven alcoholic hepatitis. <i>Veillonella</i> species have been correlated with disease severity and hepatic encephalopathy in liver diseases such as autoimmune hepatitis and cirrhosis. Their abundance has also been recently observed to be increased in alcoholic hepatitis, where postinflammatory infections are known to impact mortality. This case report highlights the possible clinical manifestations that result from significant gut dysbiosis in patients with severe alcoholic hepatitis. Early identification and treatment of <i>Veillonella</i> bacteremia in susceptible populations could be crucial to survival given this organism's predilection for causing life-threatening infections, including meningitis, endocarditis, and osteomyelitis.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":"2021 ","pages":"9947213"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39552965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
A Devastating Case of Hepatitis C-Induced Mixed Cryoglobulinemia. 丙型肝炎致混合性冷球蛋白血症1例。
Case Reports in Hepatology Pub Date : 2021-10-08 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8244432
Sameeha Khalid, Dhuha Alhankawi, Kamalmeet Kaur, Ali Ali, Anna Kazaryan, Marina Roytman
{"title":"A Devastating Case of Hepatitis C-Induced Mixed Cryoglobulinemia.","authors":"Sameeha Khalid,&nbsp;Dhuha Alhankawi,&nbsp;Kamalmeet Kaur,&nbsp;Ali Ali,&nbsp;Anna Kazaryan,&nbsp;Marina Roytman","doi":"10.1155/2021/8244432","DOIUrl":"https://doi.org/10.1155/2021/8244432","url":null,"abstract":"<p><p>Hepatitis C-induced mixed cryoglobulinemia leading to rapidly progressive gangrene, necessitating amputations, is a rare presentation. We describe a case of a 55-year-old man with untreated chronic hepatitis C virus (HCV) presenting with arthralgia and palpable purpura, which rapidly progressed to life-threatening gangrene of all extremities requiring amputations in the setting of mixed cryoglobulinemia. Treatment for HCV was initiated which led to the arrest of gangrene progression and the patient's survival. Patients with HCV-induced cryoglobulinemia should be closely monitored and started on early therapy with direct-acting antiviral therapy to prevent progression of vasculitis to gangrene. Universal screening for HCV can aid in early diagnosis and treatment to prevent devastating consequences.</p>","PeriodicalId":30295,"journal":{"name":"Case Reports in Hepatology","volume":"2021 ","pages":"8244432"},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39526326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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