Coelho J C, Wiederkehr J C, Campos A C, Zeni Neto C, Oliva V
Services de Chirurgie, l'Hôpital des Cliniques de l'Université Fédérale du Parana, Curitiba, Brésil.
J Chir (Paris). 1994 Feb;131(2):96-8.
Twenty-six days after liver transplantation for primary biliary cirrhosis, a 52 year-old patient was rehospitalized for viral infection. The clinical features were fatigue, anorexia and vomiting. On physical examination, vesicular skin lesions involving the left 8 th intercostal space were suggestive of herpes-zoster infection. The following day the patient was extremely tired and dyspnoeic. The abdomen was distended with moderate abdominal epigastric pain. The clinical picture worsened rapidly and the patient died a few hours later. Autopsy revealed acute haemorrhagic necrosis of the pancreas due to herpes-zoster virus.
在因原发性胆汁性肝硬化接受肝移植26天后，一名52岁的患者因病毒感染再次入院。临床症状为乏力、厌食和呕吐。体格检查发现左侧第8肋间有水泡样皮肤损害，提示为带状疱疹感染。第二天，患者极度疲倦且呼吸困难。腹部膨隆，上腹部有中度疼痛。临床症状迅速恶化，患者数小时后死亡。尸检显示胰腺因带状疱疹病毒感染而出现急性出血性坏死。
