Acute Acalculous Cholecystitis in a Child with COVID-19 and Influenza B: A Case Report

23 June 2025 : Case report Malaysia

Unusual clinical course, Mistake in diagnosis

Abdul Khaliq Abdul Jalil^{ABDEF 1}, Nafiza Mat Nasir

^{AE 1*}, Nuryasmin Ramli^{E 2}, Zarina Yakof^{E 3}

DOI: 10.12659/AJCR.948156

Am J Case Rep 2025; 26:e948156

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Table 1 Laboratory investigations of the patient during hospitalization and follow-up.

Days	Parameters
Days	WBC (4–10 ×109/L)	Hb (13–17 gr/dL)	Platelet (150–410 ×109/L)	AST (10–50 U/L)	ALT (10–50 U/L)	ALP (142–335 U/L)	Total bilirubin (1.7–21 umol/L)	Direct bilirubin (0–5 umol/L)	INR (<1.2)
1	25.1	12.1	355	1151	1666	283	55	42	2.1
3	16.6	10.3	312	344	1849	196	20	12	1.5
6	16.4	10.3	433	59	763	182	17	11	0.9
8 (discharge)	11.1	11.2	475	33	450	183	10	6	^*
1 weeks later (follow-up)	^*	^*	^*	29	35	176	12	5	^*
^* Not taken on the day. WBC – white blood cell; Hb – hemoglobin; AST – aspartate transaminase; ALT – alanine transaminase; ALP – alkaline phosphatase; INR – international normalized ratio.

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