Abstract
A 29-year-old man with a history of sickle cell disease that was complicated by sickle cell cholangiopathy and end-stage liver disease treated with an orthotopic liver transplant 8 months before current hospitalization was admitted for acute chest syndrome and treatment-resistant cytomegalovirus viremia. His acute chest syndrome improved with biweekly packed red blood cell exchanges through a previously placed right-sided port-a-cath. The hospital course was complicated by oliguric acute kidney injury and pulmonary edema requiring a transfer to the intensive care unit.
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