Transplantation of a hepatitis B surface antigen-positive donor liver into a hepatitis B virus-negative recipient

Autor: R P, González-Peralta, J M, Andres, F Y, Tung, J W, Fang, M E, Brunson, G L, Davis, J Y, Lau
Rok vydání: 1994
Předmět:
Zdroj: Transplantation. 58(1)
ISSN: 0041-1337
Popis: A critically ill, HBV seronegative girl who received a liver from a HBsAg+ donor is described. Despite HBV Ig prophylaxis, she was seropositive for HBsAg shortly after transplantation. Although the postoperative period was complicated, HBV-related problems were not encountered. Liver dysfunction was noted 7 months after transplantation. At that time, she became anti-HBc IgM-positive, with liver histologic findings suggestive of chronic active hepatitis B. The liver function normalized after a reduction of immunosuppressive therapy and introduction of ciprofloxacin. The patient had low level HBV replication during the entire follow-up period (HBV DNA-positive by PCR only) and sequencing of the virus on 4 occasions revealed only wild-type HBV. She subsequently lost serum HBsAg and HBV DNA (even by PCR) and has remained well 2 years after transplantation.
Databáze: OpenAIRE