Abstract

lymphocytes were detected in peripheral blood (Fig. 2A). The Epstein-Barr virus (EBV) DNA level was 9800 copies/g of DNA. At the time of LDLT, serological studies for EBV showed that the patient had already been infected with EBV on the basis of serum levels of immunoglobulin G. Results were negative for EBV viral capsid antigen immunoglobulin M, whereas levels of viral capsid antigen immunoglobulin G and early antigen immunoglobulin G were elevated. EBV was thought to have been reactivated as a result of the immunosuppressive condition occurring after transplantation. A physical examination revealed small, palpable cervical lymph nodes. Cervical lymph nodes were enlarged;, however, abdominal computed tomography did not reveal swelling of the intra-abdominal lymph nodes. A histological examination of skin biopsies showed a diffuse lymphohistiocytic infiltrate having a slight admixture of neutrophils and eosinophils in septa and lob

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