28 January 2021
: Case report
A 51-Year-Old Woman with Drug-Induced Hypersensitivity Syndrome Associated with Carbamazepine, Reactivation of Human Herpesvirus 6, and Acute Liver Failure: A Case Report
Mistake in diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Adverse events of drug therapy
Akio Miyasaka1ABCDE*, Ichiro Kumagai2BD, Tomoyuki Masuda3CD, Yasuhiro Takikawa1ADOI: 10.12659/AJCR.928587
Am J Case Rep 2021; 22:e928587
Table 2. The laboratory data on day 13 after admission.
| WBC | 12110 | /µL |
| Neutrophils | 66.2 | % |
| Lymphocyte | 8.1 | % |
| Monocyte | 3.2 | % |
| Eosinophils | 20.8 | % |
| Basophils | 0.4 | % |
| LUC | 1.3 | % |
| RBC | 289 | ×10/µL |
| Hb | 9.1 | g/dL |
| Plt | 24.3 | ×10/µL |
| PT-INR | 1.60 | |
| PT | 47.0 | % |
| APTT | 36.9 | sec |
| AT3 | 81 | % |
| Fibrinogen | 507.8 | mg/dL |
| FDP | 8.6 | µg/dL |
| TP | 4.8 | g/dL |
| Alb | 2.1 | g/dL |
| T-Bil | 0.6 | mg/dL |
| D-Bil | 0.4 | mg/dL |
| AST | 143 | U/L |
| ALT | 329 | U/L |
| LDH | 328 | U/L |
| γ-GTP | 990 | U/L |
| ALP | 1244 | U/L |
| ChE | 116 | U/L |
| Na | 131 | mEq/L |
| K | 3.5 | mEq/L |
| Cl | 100 | mEq/L |
| BUN | 24.3 | mg/dL |
| Cre | 2.1 | mg/dL |
| CRP | 12.6 | mg/dL |
| Ferritin | ||
| TSH | 5.27 | µIU/mL |
| FT3 | 1.42 | pg/mL |
| FT4 | 0.80 | ng/dL |
| IgG | 727 | mg/dL |
| IgA | 113 | mg/dL |
| IgM | 126 | mg/dL |
| ANA | <×40 | |
| AMA | <×20 | |
| PR3-ANCA | <×10 | |
| MPO-ANCA | <×10 | |
| AFP | 1.2 | ng/mL |
| ANA – anti-nuclear antibodies; AMA – anti-mitochondrial antibodies. | ||






