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

Table 1. Admission Exams From Hospital Regional de Rondonopolis/MT
 
ALT: 1,284AF: 412TB: 19.83DB: 9.02IB: 10.81
AST: 1,916GGT: 33Albumin: 3.8PT: 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

 

Table 2. Admission Exams From Hospital Sao Paulo After 10 Days
 
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: 554TB: 20.42DB: 19.24IB: 1.18Albumin: 2.7
Urea: 13Creatinine: 0.69PT: 35%INR: 2,27aPTT: 1.42
Sodium: 138Phosphorus: 3.4Magnesium: 1.9Potassium: 4.2Glucose: 69

 

Table 3. Liver Transplant Indication Criteria in Acute Liver Failure Without Acetaminophen Intake of King’s College Hospital
 
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

 

Table 4. Evolution of Patient’s Laboratory Tests During Hospitalization From Hospital Sao Paulo
 
August 30, 2011November 01, 2011November 04, 2011November 08, 2011
ALT410245157115
AST1501288095
Albumin2.42.32.73.6
TB23.0320.5620.1519.20
IB4.062.771.849.90
DB18.9717.7918.319.30
PT34%42%64%87%
INR2.341.921.361.09
Urea09291720
Creatinine0.731.030.950.82
Glucose957410190