Abstract
A 63-year-old woman treated with prednisone for sinusitis developed fulminant liver failure due to a clinically unsuspected primary varicella zoster virus infection. The diagnosis of herpetic hepatitis was made from a liver biopsy, and varicella zoster virus viremia was detected by polymerase chain reaction. She was treated successfully with transplantation and perioperative administration of acyclovir.
MeSH terms
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Acyclovir / therapeutic use
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Antiviral Agents / therapeutic use
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Biopsy
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Chickenpox / complications*
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Chickenpox / therapy
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Female
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Herpesvirus 3, Human / metabolism*
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Humans
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Liver / virology
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Liver Failure, Acute / complications*
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Liver Failure, Acute / therapy*
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Liver Transplantation / methods*
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Middle Aged
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Polymerase Chain Reaction
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Prednisone / adverse effects
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Treatment Outcome
Substances
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Antiviral Agents
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Prednisone
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Acyclovir