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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 31-Year-Old Man With Liver Transplant and Progressive Jaundice

Shivu Kaushik, MD; James R. Gossage, MD, FCCP
Author and Funding Information

From the Department of Medicine, Section of Pulmonary and Critical Care Medicine, Medical College of Georgia, Augusta, GA.

Correspondence to: James R. Gossage, MD, FCCP, Medical College of Georgia, Section of Pulmonary and Critical Care Medicine, 1120 15th St, BBR-5513, Augusta, GA 30912; e-mail: jgossage@mail.mcg.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(2):448-451. doi:10.1378/chest.09-2646
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Extract

A 31-year-old man was hospitalized with a history of nausea, vomiting, fever of 38°C, and diarrhea for 3 days. He had progressive jaundice for several months. His past medical history included ulcerative colitis, diabetes mellitus, chronic renal insufficiency, and pulmonary embolism. He had orthotopic liver transplantation secondary to primary sclerosing cholangitis 5 years ago but required retransplantation secondary to hepatic vein thrombosis 6 months later. He also had a chronic right hepatic hydrothorax for which he had an indwelling pleural catheter through which he self-drained fluid regularly. His medications included tacrolimus, insulin, mesalamine, hydromorphone, and promethazine. He denied any history of alcohol or tobacco abuse, recent trauma, or surgery.

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