Yiu Daniel, Ballabio Michele, Fornoni Gianluca, Maggi Umberto
General Surgery, Frimley Health NHS Foundation Trust, Slough, UK.
UO Chirurgia Generale e Trapianti di Fegato, Ospedale Maggiore Policlinico, Milano, Italy.
BMJ Case Rep. 2019 Mar 8;12(3):e227492. doi: 10.1136/bcr-2018-227492.
Herpes Simplex Virus (HSV) hepatitis in liver transplant patients is a rarely reported infective complication of HSV with severe consequences, often leading to fulminant hepatitis if left untreated. The clinical signs are often atypical, leading to under-reporting in the literature and potential delays in treatment. Our case report describes such atypical mucocutaneous lesions in a liver transplant recipient. We highlight the need for further reports, especially those with images, in order to aid the diagnosis of HSV infection, and to allow prompt treatment to prevent complications such as HSV hepatitis.
肝移植患者的单纯疱疹病毒（HSV）肝炎是一种鲜有报道的HSV感染并发症，后果严重，若不治疗常导致暴发性肝炎。其临床症状往往不典型，导致文献报道不足以及治疗可能延误。我们的病例报告描述了一名肝移植受者出现的此类非典型黏膜皮肤病变。我们强调需要更多报告，尤其是带有图像的报告，以帮助诊断HSV感染，并能及时治疗以预防诸如HSV肝炎等并发症。
