Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
Journal website http://www.journalmc.org |
Case Report
Volume 6, Number 8, August 2015, pages 342-345
Subfulminant Acute Liver Failure by Albendazole: Case Report
Tables
ALT: 1,284 | AF: 412 | TB: 19.83 | DB: 9.02 | IB: 10.81 |
AST: 1,916 | GGT: 33 | Albumin: 3.8 | PT: 18.5% | INR: 6.55 |
Serology for HAV, HBV, HCV, HIV, toxoplasmosis, CMV, EBV e syphilis: negative | ||||
Complete coagulation tests e platelets count: normal | ||||
Ultrasound of the abdomen: normal |
CBC: Hb: 13.1; Ht: 38.7; leukocytes: 14,000 cells (0\69\2.3\1.1\20.3\7.1); platelets: 218,000 | ||||
ALT: 554 | TB: 20.42 | DB: 19.24 | IB: 1.18 | Albumin: 2.7 |
Urea: 13 | Creatinine: 0.69 | PT: 35% | INR: 2,27 | aPTT: 1.42 |
Sodium: 138 | Phosphorus: 3.4 | Magnesium: 1.9 | Potassium: 4.2 | Glucose: 69 |
1) PT > 100 s or INR > 6.5 (regardless of the encephalopathy degree) |
2) Or three of the following variables: |
Age < 10 or > 40 years old |
Viral hepatitis (A or B), halothane, pharmacological idiosyncratic reactions |
Jaundice length > 7 days before the onset of encephalopathy |
PT > 50 s or INR > 3.5 |
Serum bilirubinemia > 17.5 mg/dL |
August 30, 2011 | November 01, 2011 | November 04, 2011 | November 08, 2011 | |
---|---|---|---|---|
ALT | 410 | 245 | 157 | 115 |
AST | 150 | 128 | 80 | 95 |
Albumin | 2.4 | 2.3 | 2.7 | 3.6 |
TB | 23.03 | 20.56 | 20.15 | 19.20 |
IB | 4.06 | 2.77 | 1.84 | 9.90 |
DB | 18.97 | 17.79 | 18.31 | 9.30 |
PT | 34% | 42% | 64% | 87% |
INR | 2.34 | 1.92 | 1.36 | 1.09 |
Urea | 09 | 29 | 17 | 20 |
Creatinine | 0.73 | 1.03 | 0.95 | 0.82 |
Glucose | 95 | 74 | 101 | 90 |