Acute Liver Failure Triggered by Therapeutic Dose of Acetaminophen in a Patient with Cystic Fibrosis

2021 ◽  
pp. 000313482110415
Author(s):  
Adam Goodman ◽  
Emily E. Grenn ◽  
Felicitas L. Koller ◽  
Jan Petrasek

Here we present the case of a cystic fibrosis (CF) patient with preserved pulmonary function who developed acute liver failure requiring liver transplant following an episode of binge drinking and ingestion of a modest amount of acetaminophen. Cystic Fibrosis Liver Disease (CFLD) is the third most common cause of death among CF patients. The pathogenesis of CFLD is complex and still not fully understood. It is important that patients suffering from CF know about the possible dangers associated with acetaminophen and ethanol ingestion. Our case report highlights the need for more research that needs to be done to truly understand the underlying pathogenesis of CFLD and the significant risk factors that play a part in the development of acute liver failure in patients with CF.

Author(s):  
E.V. Schwan ◽  
D.B. Miller ◽  
D. De Kock ◽  
A. Van Heerden

Acute liver failure was diagnosed in a 12-year-old cat. Fine needle aspirate cytology revealed high numbers of unsheathed microfilariae and a hepatocellular reaction with no evidence of bacterial infection. The microfilariae were identified as those of Dirofilaria repens by acid phosphatase staining. The high number of microfilariae seen in both the blood and the liver aspirate samples as well as the favourable response to ivermectin amongst other drugs administered, is suggestive that D. repens was the cause of the liver insult. A positive result obtained with an antigen-capture ELISA (Dirochek (r)) for Dirofilaria immitis antigen was interpreted as false. This is the 1st report of Dirofilaria repens for South Africa.


2014 ◽  
Vol 20 (3) ◽  
pp. 386-387 ◽  
Author(s):  
Federico Piñero ◽  
Ariel Gonzalez Campaña ◽  
Manuel Mendizabal ◽  
Martín Fauda ◽  
Carlos Rowe ◽  
...  

2015 ◽  
Vol 21 (3) ◽  
pp. 98-101
Author(s):  
Aslıhan CANDEVİR ULU ◽  
Sedef KURAN ◽  
Behice KURTARAN ◽  
Ayşe SEZA İNAL ◽  
Süheyla KÖMÜR ◽  
...  

Author(s):  
Shuichi Tange ◽  
Koji Uchino ◽  
Hirotoshi Kakiwaki ◽  
Hirobumi Suzuki ◽  
Shinzo Yamamoto ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document