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第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
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第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
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第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
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第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
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第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
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第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
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第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
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第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
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第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
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第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
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第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
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第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
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第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
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第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
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第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
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第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
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第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
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第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
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第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
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第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
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| 篇名 |
Reactivation of Herpes Simplex Causing Submassive Hepatic Necrosis in a Liver Recipient |
| 作者 |
Cheng-Maw Ho, Juin-Ling Wang, Sung-Ting Chen, Hui-Ji Su, Yao-Ming Wu, Ming-Chih Ho, Rey-Heng Hu, Po-Huang Lee |
| 卷期/出版年月 |
41卷1期 (2008/2) |
| 頁次 |
15-19 |
| 摘要 |
Survival from herpes simplex virus (HSV)-induced submassive hepatic necrosis in a liver recipient is rare. A 48-year-old man, with underlying HBV-related liver cirrhosis underwent living-related liver transplantation, had progressive hyperbilirubinemia and hepatic failure which occurred 2 months after surgery. Small amounts of YMDD mutated HBV DNA were found in serum but the patient responded poorly to lamivudin plus adefovir. Two sequential liver biopsies were performed and only the second one was characteristic of submassive hepatic necrosis with a Cowdry type I intranuclear inclusion body, which was confirmed to be HSV type I infection by immunohistochemistry. Retrospective immuno-staining and DNA detection by real time PCR of the first specimen were both negative. Serologic antibody titers were positive pre- and post-operatively. Intravenous acyclovir was administered and the liver function dramatically recovered. There were no clinical signs of oral or genital reactivation of HSV, fever, leucopenia, or thrombocytopenia. Early diagnosis was vital but difficult. Reevaluation and therapeutic decisions should not be delayed in clinically undetermined situations. |
| 關鍵詞 |
herpes simplex, submassive hepatic necrosis, liver transplantation, acyclovir |
| 分類 |
Case Report |
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