Cytomegalovirus-associated biliary atresia

The pathogenesis of biliary atresia (BA) is propounded to be an immunological process, but the detailed mechanisms remain unclear. In recent studies with abnormal immunological findings, T cells have drawn attention in the mechanism of BA pathogenesis. Furthermore, cytomegalovirus (CMV) infection in...

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Main Authors: Kazuki Kodo (Author), Kenichi Sakamoto (Author), Tomohiko Imai (Author), Takeshi Ota (Author), Mitsuru Miyachi (Author), Jun Mori (Author), Tomohiro Chiyonobu (Author), Tetsuya Imura (Author), Hajime Hosoi (Author)
Format: Book
Published: Elsevier, 2018-08-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Kazuki Kodo  |e author 
700 1 0 |a Kenichi Sakamoto  |e author 
700 1 0 |a Tomohiko Imai  |e author 
700 1 0 |a Takeshi Ota  |e author 
700 1 0 |a Mitsuru Miyachi  |e author 
700 1 0 |a Jun Mori  |e author 
700 1 0 |a Tomohiro Chiyonobu  |e author 
700 1 0 |a Tetsuya Imura  |e author 
700 1 0 |a Hajime Hosoi  |e author 
245 0 0 |a Cytomegalovirus-associated biliary atresia 
260 |b Elsevier,   |c 2018-08-01T00:00:00Z. 
500 |a 2213-5766 
500 |a 10.1016/j.epsc.2018.02.002 
520 |a The pathogenesis of biliary atresia (BA) is propounded to be an immunological process, but the detailed mechanisms remain unclear. In recent studies with abnormal immunological findings, T cells have drawn attention in the mechanism of BA pathogenesis. Furthermore, cytomegalovirus (CMV) infection in BA patients resulted in elevated levels of helper T cells (Th1 and Th17) and reduction of regulatory T cells. Thus, CMV infection is considered as a cause of BA.We present the case of a 3-month-old boy who presented with intracerebral hemorrhage and finally died of liver failure. BA was diagnosed on autopsy and serum CMV-IgM was positive, but CMV antigen in the liver tissue was negative.Because CMV-associated BA has poor prognosis, compared with BA not associated with CMV, accurate classification of the type of BA is essential. Keywords: Biliary atresia, Cytomegalovirus, Cytomegalovirus-associated biliary atresia 
546 |a EN 
690 |a Pediatrics 
690 |a RJ1-570 
690 |a Surgery 
690 |a RD1-811 
655 7 |a article  |2 local 
786 0 |n Journal of Pediatric Surgery Case Reports, Vol 35, Iss , Pp 17-20 (2018) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2213576618300150 
787 0 |n https://doaj.org/toc/2213-5766 
856 4 1 |u https://doaj.org/article/adea00e18b0d48f59dce335be5a60ca0  |z Connect to this object online.