PE-006 : Rare Experience of Emergency Living Donor Liver Transplantation Due to Mush Room Poisoning Presenting with Acute Kidney Injury and Acute Liver Failure

Aims: Liver transplantation remains the only definitive treatment for patients with acute liver failure proven to have irreversible liver injury. Rapid evaluation and consideration for liver transplantation is mandatory. Here we experienced extremely rare case, the patient with mushrooming posining undergone emergency living donor liver transplantation. Methods: Retrospective review of medical records was performed for the patient who had suffered from a Acute liver failure and encephalopathy. Results: A previous healthy 24-year-old man transfer to the emergency department with septic shock. He went play in a mountain stream. Initial lab findings were presented in Table 1. He was admissioned to the nephrologic part for treatment of acdisosis and oligouria and started hemodialysis When re-history taking, his family ate unknown mush room in the mountain stream. For conservative care but his mentality was change on Hospital 3rd day and didn’t improved. On Hospital 7th day, He was consulted transplantation surgeon. we did emergency living donor liver transplantation on Hospital 8th day. His father donated his right liver to his son. After the transplantation, his mentality was recovered on post operative 2nd day. But immediate liver transplantation, he suffered from pneumoniasuspected invasive pulmonary infections(IPA) and use antibiotics for a long period and his liver functional recovery round 1month later. He did hemodialysis until post-operative 3month. Conclusions: A timley diagnosis of Acute liver failure is critical and severe patients who fail to recover after treatment rapidly considerated for liver transplantation is mandatory. Clinicians should be aware of its natural history and start treatment early.