1. Fulminant liver failure in chronic disease: a case study.
- Author
-
Hughes, Tracey
- Subjects
HEPATITIS A vaccines ,BILE duct diseases ,CHRONIC diseases ,LIVER failure ,LIVER transplantation ,ULCERATIVE colitis ,ACUTE diseases ,VACCINATION ,THERAPEUTICS - Abstract
JC was referred for liver transplantation to the Liver Transplant Unit at Austin Health in December 2009. At the time of referral, JC was a 36-year-old male with primary sclerosing cholangitis (PSC) and ulcerative colitis (UC). He was managed medically for a few months and then completed a liver transplant work-up. He was placed on the Victorian Liver Transplant Waiting List in May 2010. In late June 2010, his bilirubin was rising, and he was jaundiced and lethargic. A week later, his alanine aminotransferase (ALT) began rising. In early July, he was admitted to hospital in acute liver failure. His condition continued to deteriorate and he was listed as a Category 2a across Australia and New Zealand in mid-July. Category 2a is national liver transplant listing for patients suitable for transplantation with acute liver failure from whatever cause who are not yet ventilated but who meet the King's College criteria. At the time of listing, there was no diagnosis for his acute failure. The purpose of this paper is to explore JC's case. [ABSTRACT FROM AUTHOR]
- Published
- 2018