06 August 2022
: Case report
Adenovirus-Related Fulminant Liver Failure After Kidney Transplantation
Unusual clinical course, Challenging differential diagnosis, Management of emergency care
Plamen Mihaylov1AE*, Andrew J. Lutz1B, Federico Oppliger1F, Jingmei Lin2BEDOI: 10.12659/AJCR.936564
Am J Case Rep 2022; 23:e936564
Table 1. Index laboratory tests at presentation and the day of death.
| Lab | Index | ||||
|---|---|---|---|---|---|
| Day 1 | Day 2 | Day 3 | Day 4 – Death | ||
| WBC | 1.4 | 1.0 | 3.5 | 1.5 | |
| AST | 546 | 1992 | 6340 | 6420 | |
| ALT | 556 | 1323 | 11800 | 12460 | |
| Alkaline phosphatase | 87 | 101 | 274 | 199 | |
| Total bilirubin | 0.4 | 1.2 | 5.7 | 3.6 | |
| INR | 1.8 | 2.1 | 3.78 | 6.88 | |
| Na | 136 | 135 | 143 | 164 | |
| K | 4.0 | 4.0 | 5.2 | 7.0 | |
| Creatinine | 1.7 | 1.72 | 3.05 | 1.7 | |
| Lactate | – | – | 13.9 | >18 | |






