]> 2026-07-31T07:51:07+00:00 WBR0627 0 en Hepatic artery thrombosis Allograft rejection Immunosppresive agent toxicity Recurrent Hepatitis C infection Cytomegalovirus infection Primary Care Office A 40 year old male, comes to the office with complaints of fatigue and malaise for the past few weeks. He is a known case of chronic hepatitis C who underwent allograft liver transplantation 6 months ago. He is currently on immunosuppressive agents with cyclosporine and tacrolimus. He denies any other complaints. He denies smoking and consuming alcohol. On examination his temperature is 37.7 C, blood pressure is 130/70 mmHg, pulse is 102/min and respiration's are 16/min. Abdomen is soft and non-tender with no organomegaly. Other system examinations are normal . His lab results are Hb:7 g/dl, hematocrit : 33, Na:135 mEq/L, K: 3.5 mEq/L, Cl:104mEq/L, Bi: 24 mEq/L, BUN: 30 mg/dl, glucose:98 mg/dl, Mg: 1mg/dl and Ca: 8mg/dl. The liver fuction test results are as follows: Alanine aminotransferase : 200 U/L Aspartate aminotransferase : 290 U/L Alkaline phosphatase : 120 U/L Total bilirubin : 1 mg/dl Serum albumin : 3.6 g/dl Prothrombin time : 12 sec A liver biopsy is done and it reveals portal tract inflammation with piecemeal necrosis and scatterred lobular inflammation. What is the most likely diagnosis in this patient? D Gastrointestinal 2020-10-28T01:13:39Z 2459150.5511458 WBR0627