El Sherif A*, Elgazar M, Sweed D, Ayoub I, Yassein T and Abo El Ella K
DOI: 10.37421/2573-4563.2023.7.219
Hepatocellular Carcinoma (HCC) is one of the leading causes of death from cancer in the world. Direct-acting Antiviral (DAA) therapy has revolutionized the treatment of Hepatitis C Virus (HCV) infection, with very high rates of Sustained Virology Response (SVR) and an excellent safety profile. The procedures performed were: 22 cases done major RT hepatectomies (32.4%). 12 cases underwent Lt Lateral hepatectomy (17.6%) 34 cases underwent non anatomical resection (50%). Time of hepatic transection was performed is 192 min average range (135 to 250 min). The average blood loss was 825 ml (range 50-1600 ml).
The treatment approach for Hepatocellular Carcinoma (HCC) depends on the stage and extent of disease, the severity of the underlying liver disease, and the overall performance status of the patient.
DOI: 10.37421/2573-4563.2024.8.278
Bindu Mulakavalupil, Ahneez Abdul Hameed*, Francesca Trovato and Anita Verma
Lacticaseibacillus spp., are Gram-positive bacteria found in human mucosa and various fermented foods. Lacticaseibacillus rhamnosus, has been recognized for its beneficial effects on gut and vaginal microflora, though it can act as an opportunistic pathogen in immunocompromised individuals. We present the first case of L. rhamnosus pleural empyema and intraabdominal infection in a post liver transplant patient and review of literature. The isolate from peritoneal and pleural fluids was fully resistant to commonly used antibiotics in post-transplant setting. It was only susceptible to metronidazole. Most infections in literature are reported in patients with chronic illnesses and are associated with high mortality. In conclusion although L. rhamnosus is an opportunistic pathogen, but this and other reported cases emphasizes the necessity for increased awareness of it as a potential pathogen and its resistance in immunocompromised patients. For better outcome it is important to start customized early antimicrobial therapy with effective source control.
Hepatology and Pancreatic Science received 34 citations as per Google Scholar report