Viral hepatitis guidelines in hemodialysis and transplantation

Clinical issues regarding viral hepatitis in organ transplant recipients are complex, and vary depending on the organ transplanted and the serologic and virologic status of the donor and the recipient. A number of possible etiologies can lead to hepatitis or liver abnormalities in organ transplant patients. Of these, the most important infectious agents are hepatitis B and C, but other possible causes include CMV, HSV, HHV-6, EBV, adenovirus, and parvovirus B19, as well as noninfectious etiologies such as drug toxicity, alcohol abuse, and acute rejection in liver recipients.