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Title: Applying the molecular adsorbent recirculating system (MARS) in the treatment of acute liver failure (ALF) case report
Authors: Gavrilovic, Jagoda
Velickovic J.
Mijailovic Z.
Lazarević Ž.
Gavrilovic, Aleksandar
Tomovic, Marina
Issue Date: 2018
Abstract: © 2018, University of Kragujevac, Faculty of Science. All rights reserved. Acute liver failure (ALF) is a rare but life-threatening illness with multiple organ failure. The short-term mortality rate exceeded 80 % despite modern approaches in treatment. Drugs, infections by hepatic viruses and toxins are the most common causes of ALF. Progressive jaundice, coagulation disorder and hepatic encephalopathy are dominated as a clinical signs of the illness. We present a case of a 36-year-old Caucasian woman hospitalized in ICU due to yellow discoloration of the skin and sclera, severe disseminated coagulopathy and hemodynamic instability. ALF is developed due to Hepatitis B Virus infection, resulting in hepatic toxicity as well as coma. General condition rapidly improved after applying of Molecular Adsorbent Recirculating System (MARS), an extracorporeal liver support system based on albumin dialysis. It is relatively expensive treatment that is used for the patient with hepatic encephalopathy grade 3 or 4 in our institution. In conclusion, an early administration of MARS significantly reveals subjective and objective clinical improvement in the case we presented.
Type: article
DOI: 10.1515/SJECR-2017-0074
ISSN: 1820-8665
SCOPUS: 2-s2.0-85052335559
Appears in Collections:Faculty of Medical Sciences, Kragujevac

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