One of the most challenging situations in dermatology is the evaluation of a critically ill patient with a morbilliform eruption. Herein, we report on a 50-year-old white woman who underwent an orthotopic liver transplantation for autoimmune hepatitis and end-stage liver dis
REPORT OF A CASE
A 50-year-old white woman underwent an orthotopic liver transplantation for autoimmune hepatitis and end-stage liver disease. Her donor was an ABO identical man. Her initial postoperative course was unremarkable except for a short episode of organ rejection that was successfully treated with increased doses of systemic corticosteroids. On postoperative day 19, the patient was unexpectedly found to be leukopenic with a leukocyte count of 0.2×109/L. Subsequently, she became thrombocytopenic and anemic and developed group D enterococcal and Klebsiella pneumoniae sepsis. Apart from her hepatic disease, the patient's medical history was unremarkable. However, she reportedly had had an urticarial reaction to penicillin 30 years
Connors J, Drolet B, Walsh J, Crosby DL, Esterly NB. Morbilliform Eruption in a Liver Transplantation Patient. Arch Dermatol. 1996;132(10):1161–1163. doi:10.1001/archderm.1996.03890340021003
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