Rapid progressive hepatitis C after liver transplantation: a case report.
A 56-year-old man on hemodialysis for 3 years because of chronic renal failure underwent living related donor liver transplantation (LRDLT) and splenectomy using the right hepatic lobe for liver cirrhosis type C (genotype 1b) with hepatocellular carcinoma. At 69 postoperative days (POD), he displayed a high fever and his blood transaminase and total bilirubin were increased. Based on finding in his liver biopsy, we diagnosed rapid recurrence of progressive hepatitis C after LRDLT, so we administered IFNbeta. Thereafter his liver function returned to normal and his HCV-mRNA decreased to 1200 kcopy/mL. We inferred that hemodialysis and splenectomy decreased his immunity, allowing rapidly progressive hepatitis C recurrence after LRDLT.
Takeishi
T
T
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. tochiogou@yahoo.co.jp
Sato
Y
Y
Ichida
T
T
Yamamoto
S
S
Hirano
K
K
Kobayashi
T
T
Watanabe
T
T
Hatakeyama
K
K
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D006526:Hepatitis C / Q000175:diagnosis*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000821:virology; D012008:Recurrence; D006435:Renal Dialysis; D013156:Splenectomy