25 August 2024
: Case report 
Misdiagnosed Antibiotic-Induced Liver Injury: Unveiling Acute Hepatitis E in a 65-Year-Old Patient
Challenging differential diagnosis
Sereina Livia Müller1BCDEF, Anna Kaumanns1DE, Kai-Manuel Adam2DE, Michael Osthoff13ADE, Sarah Dräger
13ABCDEF*
DOI: 10.12659/AJCR.944508
Am J Case Rep 2024; 25:e944508
Table 1. An overview of the patient’s laboratory values.
| Laboratory parameter (reference range) | Day -15 | Day 0, DOA | Day 1, diagnosis of hepatitis E (positive IgM) | Day 2, peak of transaminases | Day 90 |
|---|---|---|---|---|---|
| (<24 µmol/L) | 9.7 | 39.4 | 38.7 | 42.4 | 3.6 |
| (11–34 U/L) | 32 | 1098 | 1182 | 1293 | 26 |
| (9–59 U/L) | 24 | 1702 | 1899 | 2217 | 19 |
| (12–68 U/L) | 30 | 2899 | 2891 | 2917 | 22 |
| (40–130 U/L) | 58 | 614 | 616 | 652 | 90 |
| (35–52 g/L) | 24 | 27 | 25 | 30 | 34 |
| (3.5–10 G/L) | 14.28 | 8.04 | 8.28 | 11.47 | 5.18 |
| (<10 mg/L) | 88.4 | 14.9 | 11.7 | 11.1 | 4.0 |
| (<1.3) | 1.1 | 1.0 | 1.1 | 1.0 | – |
| AST – aspartate transaminase; ALT – alanine transaminase; GGT – γ-glutamyl transferase; AP – alkaline phosphatase; CRP – C-reactive protein; INR – international normalized ratio; DOA – date of admission. | |||||