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Retransplant Due to Fulminant Hepatic Failure From Hepatitis E Virus: A Case Report
E Tenorio González1, M Robles Díaz2, R Sanjuan Jiménez2
1UGC Aparato Digestivo, Regional University Hospital, Malaga, Spain.
Abstract:
Hepatitis E virus (HEV) usually causes self-limiting acute liver infections from fecal or oral transmission, though other routes of infection exist (vertical transmission, blood transfusion, zoonosis). It may give rise to fulminant hepatic failure in 1% of cases. Cases have recently been reported of chronic infection evolving to cirrhosis in immunosuppressed patients, such as those with a liver or kidney transplant. Nonetheless, development of acute liver failure in these patients is exceptional, with few cases published. We present a case of acute liver failure due to HEV in a liver transplant patient who required a liver retransplant 9 years after receiving the original transplant.
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