When is a consultation indicated for a liver transplant patient with posttransplant complaints?

Updated: Dec 31, 2017
  • Author: Lemi Luu, MD, RDMS, FACEP, FAAEM; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

Contact a transplant gastroenterologist or the liver transplant service for admission or prior to discharge. Graft failure mandates admission, as does a febrile illness without an obvious source. Inability to take immunosuppressants orally due to gastrointestinal disturbances necessitates admission for intravenous drug administration.

Arrange for early admission for any infection other than minor infections. If rejection is suspected, the transplant physician needs to be involved early in the course for evaluation and management.


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