[Tropmed-l] LV patiente 92y old

[Thor Dantas]

Dear colleagues, I have a liver transplant patient for 5 months in use of FK
 and MMF with a rapid progressive tegumentar leishmaniasis in the face. does
anyone have anyexperience in treating this scenario. Furthermore, the
patient has diabetes and hypertension and is admitted to the hospital
because of intense asthenia and peripheral neuropathy. Also shows
marked elevation
of liver enzymes wich is under investigation. a liver biopsy is planned. The
main hypotheses are FK toxicity and/or post transplant recurrence of HCV.
(rejection seems less likely because the serum level was pretty high).
thanks everybody.
hugs
Thor Dantas
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