Post-transplantation encephalopathy work-up

 

Investigations

Glucose, liver function test, renal function tests, lipase, amylase, ammonia

ESR, CBC, full coagulation profile

Blood gasses

Vitamin B12

Blood cultures: bacteria and fungi

HIV

Seroconversion: fungi, HSV-1, VZV, HHV-6, CMV (IgM)

Plasma level monitoring (cyclosporin,..)

CSF: routine analysis, fungal, PCR (HSV-1, CMV, EBV, VZV, HHV-6); HSV-1, VZV antibodies; viral cultures (VZV, CMV, HHV-6), viral specific IgM (EBV), OCB, India ink

Echocardiogram

EEG

MRI (HSV-1, VZV, CMV-LPTD, PMFLE, toxoplasmosis)

MRA

(Brain biopsy: EBV-LPTD)

 

 

 

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