Article
Acute liver failure in an immunocompetent patient
Registro en:
PAULA, Vanessa Salete de; et al. Acute liver failure in an immunocompetent patient. Journal of Clinical Virology, v.60, n.1, p.1-3, 2014.
1386-6532
10.1016/j.jcv.2014.03.008
Autor
Paula, Vanessa Salete de
Silva, Amanda Perse da
Michel, Detlef
Melgaço, Juliana Gil
Vieira, Yasmine Rangel
Santos, Damião Carlos dos
Araújo, Cristina Carvalho Viana de
Moreira, Lucio Filgueiras Pacheco
Machado, Marcelo Pelajo
Nascimento, Cristina Moreira do
Chanasit, Jonas Schmidt
Pinto, Marcelo Alves
Resumen
A 14-year-old immunocompetent female showed clinical signs of severe hepatitis. The diagnosis of hepatic encephalopathy was by clinical signs and symptoms: reduction of consciousness, mental confusion, and hepatomegaly, edema in upper and lower limbs during physical examination. Clinical chemistry revealed total and direct bilirubin of 49.9 mg/dl (normal 0.1–1.2 mg/dl) and 31(<0.4 mg/dl) respectively, alanine transaminase (ALT) levels of 1393 U/L (<50 U/L) and aspartate transaminase (AST) levels of 1773 U/L (<36 U/L), and severe diminished prothrombin activity.