16 July 2020: Articles
Acute Cytomegalovirus (CMV) Hepatitis in an Immunocompetent Adult
Challenging differential diagnosis
Maleeha Zahid A* , Nisha Ali A , Muhammad Saad A , Paul Kelly A , Alfonso Ortiz ADOI: 10.12659/AJCR.925495
Am J Case Rep 2020; 21:e925495
Table 1. Laboratory findings.
| Day 1 | Day 3 (peak levels) | Day 6 (discharge day) | |
|---|---|---|---|
| Hemoglobin (range 12.0–16.0 g/dL) | 12.4 | 12.5 | 12.5 |
| White blood count (range 4.8–10/8 k/uL) | 11.5 | 14.4 | 11.5 |
| Platelet count (range 150–400 k/uL) | 162 | 210 | 253 |
| Serum sodium (range 135–145 mEq/L) | 140 | 143 | 137 |
| Serum bicarbonate (Range 24–30 mEq/L) | 23 | 22 | 29 |
| Blood urea nitrogen (range 8–26 mg/dL) | 7 | 4 | 7 |
| Creatinine, serum (range 0.5–1.5 mg/dL) | 0.9 | 0.8 | 0.8 |
| Protein, serum (g/dL) (range 6.0–8.5 g/dL) | 6.5 | 6.7 | 6.5 |
| Albumin, serum (g/dL) (range 3.4–4.8 g/dL) | 3.5 | 3.4 | 3.3 |
| Alanine aminotransferases (range 5–40 unit/L) | 335 | 495 | 229 |
| Aspartate aminotransferase (range 9–48 unit/L) | 160 | 233 | 57 |
| Alkaline phosphatase (range 53–128 unit/L) | 254 | 299 | 229 |
| Total bilirubin (range 0.2–1.2 mg/dL) | 0.7 | 0.6 | 0.4 |
| Direct bilirubin (range 0–0.3 mg/dL) | 0.4 | 0.4 | 0.2 |