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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 195 - 199 (5page)
- DOI
- 10.4285/kjt.21.0013
이용수
초록· 키워드
오류제보하기
Bacterial infection represents a turning point in the natural history of cirrhosis, causing the development of acute-on-chronic liver failure. It significantly affects the outcome of patients listed for liver transplantation. We report the case of a 57-year-old man who had been regularly treated for hepatitis B virus, alcoholic liver cirrhosis, and hepatic failure. The patient was hospitalized again due to variceal bleeding and hepatic coma. He vis- ited the emergency room with painful anal swelling, dysuria, icteric sclera, and serious abdominal distension. The painful anal swelling and necrosis progressed; thus, he was diagnosed with Fournier’s gangrene. Enterococcus faecium and Candida albicans were detected in the blood. Gangrene wound debris was studied extensively. Despite appropri- ate antibiotic treatment, vancomycin-resistant enterococcus and C. albicans were con- tinuously present in the blood. Wide debridement of the wound and T-colostomy were performed. After this, norepinephrine and vasopressin were used to maintain stable vital signs. It was difficult to establish a liver transplant operation. Despite repeated bleeding, bacterial infections improved with additional antibiotics. Finally, selected deceased do- nor liver transplantation in controlled Fournier’s gangrene was successfully performed. Controlled infections may be allowed in transplantation surgery.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Gustot T / 2017 / Selected patients with acute-onchronic liver failure grade 3 are not too sick to be considered for liver transplantation / J Hepatol 67:667~668
Putignano A / 2017 / New concepts in acute-onchronic liver failure : implications for liver transplantation / Liver Transpl 23:234~243
Bertuzzo VR / 2017 / Impact of preoperative infection on outcome after liver transplantation / Br J Surg 104:e172~e181
Artru F / 2017 / Liver transplantation in the most severely ill cirrhotic patients : a multicenter study in acuteon-chronic liver failure grade 3 / J Hepatol 67:708~715
Strnad P / 2017 / Liver: guardian, modifier and target of sepsis / Nat Rev Gastroenterol Hepatol 14:55~66
Putignano A / 2017 / New concepts in acute-onchronic liver failure : implications for liver transplantation / Liver Transpl 23:234~243
Bertuzzo VR / 2017 / Impact of preoperative infection on outcome after liver transplantation / Br J Surg 104:e172~e181
Artru F / 2017 / Liver transplantation in the most severely ill cirrhotic patients : a multicenter study in acuteon-chronic liver failure grade 3 / J Hepatol 67:708~715
Strnad P / 2017 / Liver: guardian, modifier and target of sepsis / Nat Rev Gastroenterol Hepatol 14:55~66
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