Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Case Report

Volume 10, Number 4, August 2017, pages 268-270

Acute Liver Failure in a Patient Travelling From Asia: The Other Face of the Coin of Infectious Disease

Figures

Figure 1.
Figure 1. Transverse view of CT of abdomen.
Figure 2.
Figure 2. Longitudinal view of CT of abdomen. CT showed inflammatory changes around gall bladder likely gall bladder wall thickening or right colon ischemia.

Tables

Table 1. Summary of Biochemistry and Complete Blood Count Results
 
BloodDay 1Day 2Day 3
Hb (g/L)899676
WCC (109/L)34.24
Platelet (109/L )71517
Neutrophils (109/L)2.12.92.3
Lymphocytes (109/L)0.30.60.5
Albumin (g/L)283129
Alkaline phosphatase (IU/L)197180169
ALT (IU/L)2,3632,1362,691
Bilirubin (µmol/L)263146
Urea (mmol/L)20.921.118.8
Creatinine (µmol/L)236248262
Sodium (mmol/L)134134141
Potassium (mmol/L)4.54.84.8
Glucose (mmol/L)22.117.16.2
Prothrombin time (s)17.922.828.6

 

Table 2. Summary of Virology Screen Results
 
BloodStatus
HantavirusNegative
Saaremaa virus IgGNot detected
LeptosiraNegative
ChikungunyaNegative
SindbisNegative
AlphavirusNegative
Rickettsia serologyNegative
Epidemic typhus groupNegative
TsutsugamushiNegative
Sand fly feverNegative
Cyprus virusNegative
West NileNegative
Dengue virus IgMPositive
Dengue virus IgGPositive