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Acute exacerbation of ethylic liver cirrhosis due to an uncommon cause
Authors: P. Hajdušek 1; J. Koten 1; Z. Beneš 1; A. Chlumská 2
Authors‘ workplace: II. interní klinika, Fakultní Thomayerova nemocnice, Praha Přednosta: MUDr. Zdeněk Beneš, CSc. 1; Šiklův patologicko-anatomický ústav, Fakultní nemocnice, Plzeň Přednosta: Prof. MUDr. Michal Michal. 2
Published in: Prakt. Lék. 2008; 88(7): 419-421
Category: Case Report
Overview
In the article, main characteristic of chronic liver cirrhosis are briefly described with a particular focus on ethylic aetiology. The case report presents a case of acute exacerbation of alcoholic liver cirrhosis well compensated during sobriety. A serious deterioration that lead in acute liver failure was caused by acute cytomegalovirus infection after a non-specific immunotherapy applied by a healer.
Key words:
liver cirrhosis, acute liver failure, hepatorenal syndrome, CMV infection.
Sources
1. Sherlocková, S., Koley, J. (eds.) Nemoci jater a žlučových cest, překlad 11. vydání. Hradec Králové: nakl. O. Čermákové 2004, kap. 21, s. 22.
2. Sherlocková, S., Koley, J. (eds.) Nemoci jater a žlučových cest, překlad 11.vydání. Hradec Králové: nakl. O. Čermákové 2004, s. 371
3. Brodanová, M. Hepatologie v praxi. Praha: Galén 1997.
4. Chlumský, J., Volek, V. Hepatologie. Praha: Avicenum 1979.
5. Klener, P. a kol. Vnitřní lékařství, 2 vyd. Praha: Galén 2001, s. 532-560.
6. Zieve, L. Jaundice, hyperlipemia and hemolytic anemia: a heretofore unrecognized syndrome associated with alcoholic fatty liver and cirrhosis. Ann. Intern. Med. 1958, 48, p. 471-496.
7. Perkins, J.D. Who is at risk for developing cytomegalovirus (CMV) infection following liver transplantation. Liver Transpl. 2007, 13 (8), p. 1195-1196.
8. Anonymus. Reactivation in imunosuppression. Fortschritte der Medizin 2004, 146 (39), p. 5-6.
9. Ichai, P., Azoulay, D., Feray, C. et al. Pneumocystis carinii and CMV pneumonia after corticosteroid therapy in acute severe alcoholic hepatitis. Gastroenterol. Clin. Biol. 2002, 26 (5), p. 532-534.
10. Varani, S., Landini, M.P. Cytomegalovirus as a hepatotropic virus. Clin. Lab. 2002, 48 (1-2), p. 39-44.
11. Varani, S., Lazzarotto, T., Margotti, M. et al. Laboratory sign of acute or recent cytomegalovirus infection are common in cirrhosis of the liver. J. Med. Virol. 2000, 62 (1), p. 25-28.
12. Tarp, B.D., Astrup, L.B. Should recurrent Cytomegalovirus infections in patient with liver transplantation be treated? Ugeskr. Laeger. 1997, 159 (22). p. 3413-3416.
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General practitioner for children and adolescents General practitioner for adults
Article was published inGeneral Practitioner
2008 Issue 7-
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