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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 2. Hepatitis workup results.

TestResult
Hepatitis A IgMNegative
Hepatitis Be AntigenNegative
Hepatitis Be antibodyNegative
Hepatitis CNegative
HIV antibodyNegative
Blood cultureNegative
Urine cultureNegative
Sputum cultureNegative
Malaria negativeNegative
Mycoplasma IgM (Normal range730 U/mL
Gamma glutamyl transferase (range 8–54 unit/L)430 unit/L
Serum CMV DNA PCR (normal range18353 IU/ml
Cytomegalovirus IgM (normal range>240.00 U/ml
Dengue virus NS1 antigen (normal range
Influenza A and B rapid testNegative
Epstein-Barr virus DNA PCR (normal range
HTLV I and IINegative
Leptospira DNANot detected
Zika IgMNegative
West Nile IgMNegative
Chikungunya IgMNegative
Parvo virus IgMNegative
Acetylsalicylic acid (range 3–10 mg/dL)
Acetaminophen (range 10–30 ug/mL)
Antinuclear antibodiesNegative
Anti-smooth muscle antibodyNegative
Anti-mitochondrialNegative
Tissue transglutaminase antibodyNegative
Liver kidney microsomal assay (negative range ≤20.0 units)
QuantiFERONNegative
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.

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