Evaluation of fever after liver transplantation

Initial studies

History and physical examination

Laboratory testing

Complete blood count, liver enzymes
Urinalysis, urine culture
Blood cultures

Radiologic testing

Chest X-ray

Additional studies based upon clinical setting

CMV rapid antigen or CMV quantitative PCR testing
Chest CT and/or bronchoscopy
Ultrasound of liver ± cholangiogram
Head CT and lumbar puncture
Abdominal imaging: CT with contrast, MRI with MRCP

CT: computed tomography; CMV: cytomegalovirus; MRI: magnetic resonance imaging; MRCP: magnetic resonance cholangiopancreatography; PCR: polymerase chain reaction.

Graphic 75619 Version 6.0

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