Table 2.
Case | Immunosuppression and supportive therapy | Time of death | Cause of death |
1 | Increased immunosuppressant (methylprednisolone 500 mg, iv, qd, for 3 d), then CsA and mycophenolate mofetil + G-CSF (0.075 mg, bid, for 11 d) + antibiotics (imipenem/cilastatin sodium, azithromycin, moxifloxacin, meropenem and teicoplanin) + anti-fungal (fluconazole) | POD 34 | MOF and sepsis |
2 | Increased immunosuppressant (methylprednisolone 500 mg, iv, qd, for 2 d), then withdrawal (POD 29) of immunosuppressant + G-CSF (0.075 mg, bid, for 9 d) + IVIG (20 g, qd, for 9 d) + broad spectrum antibiotics (cefuroxime, ceftriaxone and imipenem/cilastatin) + anti-fungal (fluconazole) | POD 38 | Gastrointestinal bleeding |
3 | Increased immunosuppressant (methylprednisolone 500 mg, qd, for 2 d), then withdrawal (POD 29) of immunosuppressant + thymosin α1 (Zadaxin 1.6 mg, qd, for 7 d) + G-CSF (0.075 mg, bid, for 7 d) + broad spectrum antibiotics (cefminox) | POD 35 | Gastrointestinal bleeding and sepsis |
4 | Increased immunosuppressant (methylprednisolone 500 mg, iv, qd, for 2 d), then withdrawal (POD 30) of immunosuppressant + IVIG (20 g, qd, for 7 d) + thymosin α1 (Zadaxin 1.6 mg, qd, for 7 d) + G-CSF (0.075 mg, bid, for 5 d) + broad spectrum antibiotics (cefminox, cefoperazone/sulbactam) | POD 36 | Gastrointestinal bleeding and sepsis |
CsA: Cyclosporine A; G-CSF: Granulocyte colony-stimulating factor; IVIG: Intravenous immunoglobulin therapy; MOF: Multiple organ failure; POD: Post-operation day.