Fatal hyperammonemia associated with disseminated Serratia marcescens infection in a pediatric liver transplant recipient.
Pediatr Transplant
; 22(4): e13180, 2018 06.
Article
em En
| MEDLINE
| ID: mdl-29624817
ABSTRACT
Hyperammonemia is a rare and important complication post-liver transplantation. We review a case of a 5-month-old boy with biliary atresia who received a split liver transplant following a variceal bleed. The transplant was complicated by recurrent portal vein thrombosis. Colonized with Serratia marcescens pretransplant, he developed disseminated infection associated with very high levels of ammonia that led to his death. It is important to be aware of serum ammonia levels in patients with portal vein thrombosis, particularly in the setting of gastrointestinal bleeding and sepsis.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Serratia marcescens
/
Transplante de Fígado
/
Infecções por Serratia
/
Hiperamonemia
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Humans
/
Infant
/
Male
Idioma:
En
Revista:
Pediatr Transplant
Assunto da revista:
PEDIATRIA
/
TRANSPLANTE
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Nova Zelândia