What are the signs of infection or rejection in liver transplant patients?

Updated: Dec 31, 2017
  • Author: Lemi Luu, MD, RDMS, FACEP, FAAEM; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

Evaluate for evidence of infection or rejection in patients who present with compatible symptoms. Other considerations include the following:

  • Admission for fever of unknown origin or suspicion of rejection
  • Obtaining cultures and administering antibiotics if bacterial infection is suspected, based on likely bacterial pathogens
  • Administration of early stress-dose steroid administration and intravenous antibiotics in consultation with the transplant medicine service for stress of infection or other intercurrent illness
  • Review for drug interactions between commonly prescribed drugs and immunosuppressants before prescribing such medications

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