Publication: Case Report: Acute-on-Chronic Liver Failure: Making the Diagnosis between Infection and Acute Alcoholic Hepatitis.
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Identifiers
Date
2016-05-12
Authors
Sendra, Carmen
Ampuero, Javier
Giraldez-Gallego, Alvaro
Sousa, Jose Manuel
Serrano-Jimenez, Maria
Romero-Gomez, Manuel
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Thieme Medical Publishers, Inc.
Abstract
Acute-on-chronic liver failure (ACLF) represents a reversible syndrome associated with high short-term mortality, characterized by acute decompensation in patients with chronic liver disease and extrahepatic organ failure. Diagnosis and prognosis assessment is based on a newly developed diagnostic score, the Chronic Liver Failure Consortium Organ Failure score. Susceptibility to infections and systemic inflammation are typical triggers. The authors report a case in which a patient with alcohol-related cirrhosis was admitted to the hospital with acute decompensation and developed ACLF during hospitalization. This case led to an evaluation of the underlying process causing ACLF: infection versus acute alcoholic hepatitis.
Description
MeSH Terms
Acute-On-Chronic Liver Failure
Anti-Bacterial Agents
Diagnosis, Differential
Humans
Male
Organ Dysfunction Scores
Severity of Illness Index
Acute Kidney Injury
Administration, Intravenous
Bacterial Infections
Hepatitis, Alcoholic
Liver Cirrhosis, Alcoholic
Middle Aged
Radiography
Tomography, X-Ray Computed
Anti-Bacterial Agents
Diagnosis, Differential
Humans
Male
Organ Dysfunction Scores
Severity of Illness Index
Acute Kidney Injury
Administration, Intravenous
Bacterial Infections
Hepatitis, Alcoholic
Liver Cirrhosis, Alcoholic
Middle Aged
Radiography
Tomography, X-Ray Computed
DeCS Terms
Infecciones
Hospitales
Mortalidad
Hepatopatías
Diagnóstico
Pronóstico
Enfermedad hepática en estado terminal
Fibrosis
Hospitales
Mortalidad
Hepatopatías
Diagnóstico
Pronóstico
Enfermedad hepática en estado terminal
Fibrosis
CIE Terms
Keywords
Citation
Sendra C, Ampuero J, Gallego ÁG, Sousa JM, Jiménez MS, Romero-Gómez M. Case Report: Acute-on-Chronic Liver Failure: Making the Diagnosis between Infection and Acute Alcoholic Hepatitis. Semin Liver Dis. 2016 May;36(2):181-6.