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Case Reports
. 2009 Nov;28(11):1215-6.
doi: 10.1016/j.healun.2009.06.017. Epub 2009 Sep 26.

Fulminant hepatic failure due to varicella zoster in a heart transplant patient: successful liver transplant

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Case Reports

Fulminant hepatic failure due to varicella zoster in a heart transplant patient: successful liver transplant

Marlén Alvite-Canosa et al. J Heart Lung Transplant. 2009 Nov.

Abstract

Fulminant hepatic failure is a rare complication of infection by varicella zoster virus that is favored by immunosuppression. Within 1 week, a 43-year-old male heart transplant recipient who was admitted with epigastric pain successively developed a generalized vesicular rash, hepatitis, and secondary multiorganic failure involving encephalopathy, despite treatment with acyclovir (since Day 2) and varicella zoster virus immunoglobulin (since Day 6). Emergency liver transplantation was performed on Day 9, and 36 months later, his heart and liver function are normal.

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