Matches in SemOpenAlex for { <https://semopenalex.org/work/W2979353468> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W2979353468 endingPage "S1325" @default.
- W2979353468 startingPage "S1325" @default.
- W2979353468 abstract "INTRODUCTION: Brain abscesses are a rare complication post liver transplantation. They can present as a wide array of symptoms that can include fever, headache, focal deficits, or altered mental status. Immunosuppression makes transplant patients more susceptible to a wide array of microorganisms. We present a case of Nocardia farsinica brain abscess in a patient 4 months after liver transplantation. CASE DESCRIPTION/METHODS: A 76-year-old male with known cirrhosis from fatty liver disease, and recent liver transplant presenting with acute encephalopathy. Four months earlier, the patient received a liver transplant secondary to Nash cirrhosis. His post-operative course showed no infectious complications. He did have issues with mobility and was placed in a rehab facility. He was on tacrolimus as well as azathioprine for immunosuppression. He had hyperkalemia at rehab and his trimethoprim–sulfamethoxazole was held. The patient's family brought him to the hospital for changes in mental status. The patient met sepsis criteria on admission. CT of the head showed multifocal hypoattenuation lesions. MRI with contrast was obtained which showed multiple peripherally enhancing lesions. On peripheral history he had fallen at rehab and developed a hematoma of his thigh. The fluid collection on his thigh which was aspirated. Culture results were concerning for Nocardia . Patient was presumed to have cerebral nocardiosis and was started on imipenem and trimethoprim–sulfamethoxazole. The culture confirmed Nocardia farcinica . During his hospital stay, patient's mental status gradually improved. He was discharged on imipenem and Bactrim. Repeat MRI one year later showed complete resolution of lesions. DISCUSSION: Nocardia intracranial abscesses represent a rare complication post liver transplantation; although, infection is a common cause of mortality following liver transplantation. Opportunistic infection prophylaxis is vital and his lapse was likely cause of this infection. Patients that present with fever require expansive evaluation for the common and uncommon infectious causes. Any transplant patient with new or changing headache or altered mental status require imaging of the CNS as well as a lumbar puncture. Imaging, physical exam, cultures and serologies can then further delineate the cause. Brain abscesses have high morbidity and mortality; therefore, prompt diagnosis and treatment is vital." @default.
- W2979353468 created "2019-10-18" @default.
- W2979353468 creator A5088171889 @default.
- W2979353468 creator A5090568325 @default.
- W2979353468 date "2019-10-01" @default.
- W2979353468 modified "2023-09-28" @default.
- W2979353468 title "2384 Unusual Cause of Encephalopathy in an Immediate Post Transplant Patient" @default.
- W2979353468 doi "https://doi.org/10.14309/01.ajg.0000599068.52812.b8" @default.
- W2979353468 hasPublicationYear "2019" @default.
- W2979353468 type Work @default.
- W2979353468 sameAs 2979353468 @default.
- W2979353468 citedByCount "0" @default.
- W2979353468 crossrefType "journal-article" @default.
- W2979353468 hasAuthorship W2979353468A5088171889 @default.
- W2979353468 hasAuthorship W2979353468A5090568325 @default.
- W2979353468 hasBestOaLocation W29793534681 @default.
- W2979353468 hasConcept C126322002 @default.
- W2979353468 hasConcept C141071460 @default.
- W2979353468 hasConcept C2776236688 @default.
- W2979353468 hasConcept C2776846390 @default.
- W2979353468 hasConcept C2777035434 @default.
- W2979353468 hasConcept C2777214474 @default.
- W2979353468 hasConcept C2778621155 @default.
- W2979353468 hasConcept C2779448432 @default.
- W2979353468 hasConcept C2779609443 @default.
- W2979353468 hasConcept C2779690883 @default.
- W2979353468 hasConcept C2780252810 @default.
- W2979353468 hasConcept C2909675724 @default.
- W2979353468 hasConcept C2911091166 @default.
- W2979353468 hasConcept C523546767 @default.
- W2979353468 hasConcept C54355233 @default.
- W2979353468 hasConcept C71924100 @default.
- W2979353468 hasConcept C86803240 @default.
- W2979353468 hasConceptScore W2979353468C126322002 @default.
- W2979353468 hasConceptScore W2979353468C141071460 @default.
- W2979353468 hasConceptScore W2979353468C2776236688 @default.
- W2979353468 hasConceptScore W2979353468C2776846390 @default.
- W2979353468 hasConceptScore W2979353468C2777035434 @default.
- W2979353468 hasConceptScore W2979353468C2777214474 @default.
- W2979353468 hasConceptScore W2979353468C2778621155 @default.
- W2979353468 hasConceptScore W2979353468C2779448432 @default.
- W2979353468 hasConceptScore W2979353468C2779609443 @default.
- W2979353468 hasConceptScore W2979353468C2779690883 @default.
- W2979353468 hasConceptScore W2979353468C2780252810 @default.
- W2979353468 hasConceptScore W2979353468C2909675724 @default.
- W2979353468 hasConceptScore W2979353468C2911091166 @default.
- W2979353468 hasConceptScore W2979353468C523546767 @default.
- W2979353468 hasConceptScore W2979353468C54355233 @default.
- W2979353468 hasConceptScore W2979353468C71924100 @default.
- W2979353468 hasConceptScore W2979353468C86803240 @default.
- W2979353468 hasIssue "1" @default.
- W2979353468 hasLocation W29793534681 @default.
- W2979353468 hasLocation W29793534682 @default.
- W2979353468 hasOpenAccess W2979353468 @default.
- W2979353468 hasPrimaryLocation W29793534681 @default.
- W2979353468 hasRelatedWork W1966392289 @default.
- W2979353468 hasRelatedWork W1988679513 @default.
- W2979353468 hasRelatedWork W2009676344 @default.
- W2979353468 hasRelatedWork W2092334674 @default.
- W2979353468 hasRelatedWork W2346216918 @default.
- W2979353468 hasRelatedWork W2469194281 @default.
- W2979353468 hasRelatedWork W3175583652 @default.
- W2979353468 hasRelatedWork W3183749863 @default.
- W2979353468 hasRelatedWork W3192773410 @default.
- W2979353468 hasRelatedWork W4312210448 @default.
- W2979353468 hasVolume "114" @default.
- W2979353468 isParatext "false" @default.
- W2979353468 isRetracted "false" @default.
- W2979353468 magId "2979353468" @default.
- W2979353468 workType "article" @default.