Abstract

Graft-versus-host-disease is a rare complication seen after solid organ transplantation with a high mortality rate. Graft-versus-host-disease presents with fever, rash, diarrhea and cytopenia that causes challenges in differential diagnose of cytomegalovirus infection and drug reaction. We present a case who transplanted from living-donor due to hepatocellular carcinoma and chronic hepatitis C infection. He was hospitalized with a pre-diagnosis of graftversus- host-disease, cytomegalovirus infection and drug reaction.

Keywords: Graft-versus-host disease; Living-donor liver transplantation; CMV infection