Friday, August 6, 2021

19-year-old boy Survives in Mumbai in need of liver transplant Successful treatment of 40% damaged liver in Mumbai

Mumbai: In addition to Covid -19, jaundice, malaria, dengue and other diseases are on the rise in Mumbai and many people are suffering from various ailments.  Sahil Shama, 19, was admitted to Zynova Shalby Hospital in Ghatkopar, Mumbai from another hospital with fever, cough, abdominal pain and difficulty breathing. Earlier, Sahil was undergoing treatment for tuberculosis. Giving more information about this consultant physician of Zynova Shalby Hospital who is treating Sahil, Dr. Urvi Maheshwari said, "After Sahil was admitted to Zynova Shalby Hospital, we admitted him to ICU and during medical tests, he was not diagnosed with tuberculosis and we immediately stopped taking TB drugs. However on admission at Zynova Shalby Hospital, the patient was kept in ICU on oxygen support and was reinvestigated and was found to have low haemoglobin and very low platelets, his albumin levels in blood were very low. One liter of fluid was drained from the patient's lungs and resent for investigation, where no tuberculosis was found and hence anti tubercular treatment was stopped. Patient was given blood, platelets, albumin, oxygen, steroids and other symptomatic treatment. During further evaluation and treatment, was finally diagnosed to have liver failure leading to accumulation of water in abdomen and lungs which was aggravated by low albumin levels, reduction in haemoglobin and platelets. Patient was treated accordingly and transferred to wards gradually as the patient improved and eventually discharged with normal oxygen level, increase in haemoglobin and platelets. Water in lungs and abdomen resolved after correction of albumin."

Some very important proteins are made in the liver; the albumin in the blood is one of them. When liver function deteriorates, albumin begins to deplete and then the body begins to swell. Human serum albumin is a critical plasma protein produced by the liver with a number of accepted clinical indications in chronic liver disease including management of circulatory and renal dysfunction in patients with ascites. Advanced cirrhosis is characterised by reduced albumin concentration as well as impaired albumin function as a result of specific structural changes and oxidative damage. Therefore, it is very important that the albumin is produced and that it works properly.  Even if Sahil had been delayed for two more days for treatment, the need for a liver transplant would have arisen as Sahil's liver was 40% damaged before he was admitted to Zynova Shalby Hospital, according to a statement from Zynova Shalby Hospital, Ghatkopar Mumbai.

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