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16 July 2020 : Case report  USA

Acute Cytomegalovirus (CMV) Hepatitis in an Immunocompetent Adult

Challenging differential diagnosis

Maleeha Zahid1ABCDEF*, Nisha Ali1ABCDEF, Muhammad Saad1ABCDEF, Paul Kelly2ABCDEF, Alfonso Ortiz1ABCDEF

DOI: 10.12659/AJCR.925495

Am J Case Rep 2020; 21:e925495

Table 1. Laboratory findings.

Day 1Day 3 (peak levels)Day 6 (discharge day)
Hemoglobin (range 12.0–16.0 g/dL)12.412.512.5
White blood count (range 4.8–10/8 k/uL)11.514.411.5
Platelet count (range 150–400 k/uL)162210253
Serum sodium (range 135–145 mEq/L)140143137
Serum bicarbonate (Range 24–30 mEq/L)232229
Blood urea nitrogen (range 8–26 mg/dL)747
Creatinine, serum (range 0.5–1.5 mg/dL)0.90.80.8
Protein, serum (g/dL) (range 6.0–8.5 g/dL)6.56.76.5
Albumin, serum (g/dL) (range 3.4–4.8 g/dL)3.53.43.3
Alanine aminotransferases (range 5–40 unit/L)335495229
Aspartate aminotransferase (range 9–48 unit/L)16023357
Alkaline phosphatase (range 53–128 unit/L)254299229
Total bilirubin (range 0.2–1.2 mg/dL)0.70.60.4
Direct bilirubin (range 0–0.3 mg/dL)0.40.40.2

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923