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Microbial Structures in a Patient With Sporadic Non-A, Non-B Fulminant Hepatitis Treated by Liver Transplantation

✍ Scribed by Elizabeth A. Fagan; David S. Ellis; Bernard Portmann; George M. Tovey; Roger Williams; Professor Arie J. Zuckerman


Publisher
John Wiley and Sons
Year
1987
Tongue
English
Weight
658 KB
Volume
22
Category
Article
ISSN
0146-6615

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✦ Synopsis


Double-shelled virus-like particles (60 nm) and long cytoplasmic tubular structures were found in the cytoplasm of hepatocytes from areas of collapsed and regenerating areas of hepatectomised liver in a 13-year-old boy who received a liver graft for fulminant hepatitis attributed to sporadic non-A, non-B hepatitis. The patient died on the ninth postoperative day from acute graft failure. Although virus-like particles were not found, instead, gram-negative rods were identified in the necrotic graft and the most likely cause of death was a gram-negative septicaemia with a Shwartzman-like reaction localized to the liver.


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