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骨髓移植后暴发性腺病毒肝炎。一例病例报告及文献简要综述。

Fulminant adenovirus hepatitis following bone marrow transplantation. A case report and brief review of the literature.

作者信息

Wang Wei Hua, Wang Hanlin L

机构信息

Lauren V. Ackerman Laboratory of Surgical Pathology, Department of Pathology & Immunology, Washington University School of Medicine, St Louis, Mo 63110-1093, USA.

出版信息

Arch Pathol Lab Med. 2003 May;127(5):e246-8. doi: 10.5858/2003-127-e246-FAHFBM.

Abstract

Adenovirus infections are frequently encountered in immunocompromised patients and transplant recipients. However, fulminant hepatic failure due to adenovirus infection as a fatal complication in bone marrow transplant recipients is extremely rare. We report a case of fulminant adenovirus hepatitis in a 21-year-old allogeneic bone marrow transplant recipient who subsequently died of the disease. The diagnosis was established by histologic and immunohistochemical examination of a liver biopsy and was confirmed by liver tissue and blood cultures.

摘要

腺病毒感染在免疫功能低下的患者和移植受者中经常出现。然而,腺病毒感染导致的暴发性肝衰竭作为骨髓移植受者的一种致命并发症极为罕见。我们报告一例21岁异基因骨髓移植受者发生的暴发性腺病毒肝炎,该患者随后死于该病。通过肝活检的组织学和免疫组化检查确诊,并经肝组织和血培养证实。

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