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Acute Liver Failure Due to Echovirus 9 Associated With Persistent B-Cell Depletion From Rituximab.


ABSTRACT: We describe a case of fatal acute liver failure due to echovirus 9 in the setting of persistent B-cell depletion and hypogammaglobulinemia 3 years after rituximab therapy. Metagenomic next-generation sequencing further specified the etiologic agent. Early recognition may provide an opportunity for interventions including intravenous immunoglobulin and liver transplantation.

SUBMITTER: Bajema KL 

PROVIDER: S-EPMC5604094 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Acute Liver Failure Due to Echovirus 9 Associated With Persistent B-Cell Depletion From Rituximab.

Bajema Kristina L KL   Simonson Paul D PD   Greninger Alex L AL   Çoruh Basak B   Pottinger Paul S PS   Bhattacharya Renuka R   Liou Iris W IW   Jalikis Florencia G FG   Fligner Corinne L CL   Rakita Robert M RM  

Open forum infectious diseases 20170814 3


We describe a case of fatal acute liver failure due to echovirus 9 in the setting of persistent B-cell depletion and hypogammaglobulinemia 3 years after rituximab therapy. Metagenomic next-generation sequencing further specified the etiologic agent. Early recognition may provide an opportunity for interventions including intravenous immunoglobulin and liver transplantation. ...[more]

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