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 2. Hepatitis workup results.
| Test | Result |
|---|---|
| Hepatitis A IgM | Negative |
| Hepatitis Be Antigen | Negative |
| Hepatitis Be antibody | Negative |
| Hepatitis C | Negative |
| HIV antibody | Negative |
| Blood culture | Negative |
| Urine culture | Negative |
| Sputum culture | Negative |
| Malaria negative | Negative |
| Mycoplasma IgM (Normal range | 730 U/mL |
| Gamma glutamyl transferase (range 8–54 unit/L) | 430 unit/L |
| Serum CMV DNA PCR (normal range | 18353 IU/ml |
| Cytomegalovirus IgM (normal range | >240.00 U/ml |
| Dengue virus NS1 antigen (normal range | |
| Influenza A and B rapid test | Negative |
| Epstein-Barr virus DNA PCR (normal range | |
| HTLV I and II | Negative |
| Leptospira DNA | Not detected |
| Zika IgM | Negative |
| West Nile IgM | Negative |
| Chikungunya IgM | Negative |
| Parvo virus IgM | Negative |
| Acetylsalicylic acid (range 3–10 mg/dL) | |
| Acetaminophen (range 10–30 ug/mL) | |
| Antinuclear antibodies | Negative |
| Anti-smooth muscle antibody | Negative |
| Anti-mitochondrial | Negative |
| Tissue transglutaminase antibody | Negative |
| Liver kidney microsomal assay (negative range ≤20.0 units) | |
| QuantiFERON | Negative |
| Erythrocyte sedimentation rate (range 0–30.0 mm/hr) | 14 mm/hr |
| Lactic acid dehydrogenase (range 100–190 unit/L) | 409 unit/L |
| Ceruloplasmin (range 18–36 mg/dL) | 39 mg/dL |
| HIV – human immunodeficiency virus. | |