title: Severe anemia, gastric ulcer, pneumonitis and cholangitis in a liver transplant patient: multiple organic dysfunction and one etiology: a case report.
abstract: Cytomegalovirus (CMV) is the most common viral pathogen that negatively affects the outcome of liver transplantation. CMV causes febrile illness often accompanied by bone marrow suppression, and in some cases it invades tissues, including the transplanted allograft. In addition, CMV has been significantly associated with an increased predisposition to allograft rejection, accelerated hepatitis C recurrence, and other opportunistic infections, as well as reduced overall patient and allograft survivals. We carried out a study on a Spanish adult liver transplant recipient who rapidly presented anemia and was diagnosed as having Coomb negative (nonimmune) hemolytic anemia, gastric ulcer, pneumonitis, and cholangitis associated with a CMV infection.
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain. Electronic address: fgarciapa@saludcastillayleon.es.
authors: F
authors: F
authors: García-Pajares
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: F
authors: F
authors: Santos-Santamarta
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: E
authors: E
authors: Fernández-Fontecha
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: R
authors: R
authors: Sánchez-Ocaña
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: R
authors: R
authors: Amo-Alonso
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: A
authors: A
authors: Loza-Vargas
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: B
authors: B
authors: Madrigal
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: B
authors: B
authors: Pérez-Saborido
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: C
authors: C
authors: Almohalla
authors: Gastroenterology Service, Hematology Service, Pathology Service, Surgery Service, Hospital Río Hortega, Valladolid, Spain.
authors: G
authors: G
authors: Sánchez-Antolín
mesh_terms: D000740:Anemia / Q000150:complications*; D002761:Cholangitis / Q000150:complications*; D003586:Cytomegalovirus Infections / Q000150:complications*; D006084:Graft Rejection / Q000209:etiology; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000150:complications*; D011014:Pneumonia / Q000150:complications*; D013276:Stomach Ulcer / Q000150:complications*; D014184:Transplantation, Homologous / Q000009:adverse effects