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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

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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.

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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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Issue 7

2008 Issue 7
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