Fever and Pancytopenia in a Liver Transplant Recipient: Going Against the Rules of Occam's Razor

The syndrome of fever and pancytopenia is not infrequently encountered postliver transplant, and a broad differential list of infectious and noninfectious aetiologies can be invoked. A transplant patient is susceptible to more than 1 opportunistic infection or disease process. We described the diagn...

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Published inTransplantation direct Vol. 3; no. 7; p. e169
Main Authors Lum, Lionel Hon Wai, Chen, Fei Wen, Jackett, Louise, Strasser, Simone I, Davis, Rebecca J
Format Journal Article
LanguageEnglish
Published United States Lippincott Williams & Wilkins 01.07.2017
Wolters Kluwer
Subjects
Liver Transplantation
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Summary:The syndrome of fever and pancytopenia is not infrequently encountered postliver transplant, and a broad differential list of infectious and noninfectious aetiologies can be invoked. A transplant patient is susceptible to more than 1 opportunistic infection or disease process. We described the diagnostic conundrums in managing our patient who ran a complex protracted course postliver transplant. He was diagnosed to have both disseminated tuberculosis and graft-versus-host disease, a rare complication after solid organ transplantation.
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ISSN:2373-8731
2373-8731
DOI:10.1097/TXD.0000000000000691