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Acute Liver Failure Due to Echovirus 9 Associated With Persistent B-Cell Depletion From Rituximab
Author(s) -
Kristina L. Bajema,
Paul D. Simonson,
Alexander L. Greninger,
Başak Çoruh,
Paul S. Pottinger,
Renuka Bhattacharya,
Iris Liou,
Florencia G. Jalikis,
Corinne L. Fligner,
Robert M. Rakita
Publication year - 2017
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofx174
Subject(s) - medicine , rituximab , liver failure , immunology , virology , antibody
We describe a case of fatal acute liver failure due to echovirus 9 in the setting of persistent B-cell depletion and hypogammaglobulinemia 3 years after rituximab therapy. Metagenomic next-generation sequencing further specified the etiologic agent. Early recognition may provide an opportunity for interventions including intravenous immunoglobulin and liver transplantation.

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