Enterococcus avium Infection After Liver Transplantation in Vietnam: A Case Report.
| Title: | Enterococcus avium Infection After Liver Transplantation in Vietnam: A Case Report. |
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| Authors: | Trung ND; Department of Surgical and Transplant Intensive Care Unit, Military Central Hospital 108, Vietnam. Electronic address: bsngotrung@gmail.com.; Tam NC; Department of Surgical and Transplant Intensive Care Unit, Military Central Hospital 108, Vietnam.; Chinh DT; Department of Surgical and Transplant Intensive Care Unit, Military Central Hospital 108, Vietnam.; Nam H; Department of Surgical and Transplant Intensive Care Unit, Military Central Hospital 108, Vietnam.; Trung ND; Department of Pharmacy, Military Central Hospital 108, Vietnam.; Thao LTP; Department of Pharmacy, Military Central Hospital 108, Vietnam.; Marche PN; Team Epigenetics, Immunity, Metabolism, Cell Signaling & Cancer, Institute for Advanced Biosciences, University Grenoble Alpes, Inserm U 1209, CNRS UMR 5309, Grenoble, France.; Su HX; Institute of Biomedicine and Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam. Electronic address: hoangxuansu@vmmu.edu.vn. |
| Source: | Transplantation proceedings [Transplant Proc] 2025 Jan-Feb; Vol. 57 (1), pp. 126-129. Date of Electronic Publication: 2024 Dec 17. |
| Publication Type: | Journal Article; Case Reports |
| Language: | English |
| Journal Info: | Publisher: Elsevier Science Inc Country of Publication: United States NLM ID: 0243532 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2623 (Electronic) Linking ISSN: 00411345 NLM ISO Abbreviation: Transplant Proc Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York, N.Y. : Elsevier Science Inc.; Original Publication: New York Stratton. |
| MeSH Terms: | Liver Transplantation*/adverse effects ; Gram-Positive Bacterial Infections*/diagnosis ; Gram-Positive Bacterial Infections*/microbiology ; Enterococcus*; Anti-Bacterial Agents/therapeutic use ; Cholangitis, Sclerosing/surgery ; Humans ; Male ; Vietnam |
| Abstract: | Background: The infectious complications are the most common and can be life-threatening to liver transplant recipients, in particular, within the first month after transplantation. Early diagnosis of these severe complications and accurate detection of causative etiologies are crucial for the choice of therapeutic strategies and management of liver transplants.; Case Report: We present a case report of a patient with a history of primary sclerosing cholangitis who underwent a liver transplantation (LT) from a living donor. The postoperative care was complicated with the hepatic artery thrombosis on day 16 and then the presence of sepsis on day 22 and intra-abdominal abscess on day 30, caused by Enterococcus avium (E. avium). The patient was treated with stent placement for hepatic artery thrombosis, percutaneous drainage of the abscess, and used an intensive intravenous antibiotic regimen with a combination of fosfomycin and vancomycin for a duration of 14 days. After the interventional procedure, the clinical examination and laboratory findings became normal and the patient left the hospital on day 46 in good general condition.; Conclusion: We diagnosed early and well-recognized complications during the perioperative care to make a prompt therapeutic approach with conservative treatment to rescue the patient without requiring urgent surgery and retransplantation.; (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Substance Nomenclature: | 0 (Anti-Bacterial Agents) |
| Entry Date(s): | Date Created: 20241218 Date Completed: 20250212 Latest Revision: 20250529 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.transproceed.2024.11.020 |
| PMID: | 39694793 |
| Database: | MEDLINE |
Journal Article; Case Reports