Announcement

Collapse
No announcement yet.

World J Clin Cases . Acute liver injury in a COVID-19 infected woman with mild symptoms: A case report

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • World J Clin Cases . Acute liver injury in a COVID-19 infected woman with mild symptoms: A case report


    World J Clin Cases


    . 2023 Jan 16;11(2):472-478.
    doi: 10.12998/wjcc.v11.i2.472.
    Acute liver injury in a COVID-19 infected woman with mild symptoms: A case report


    Pei-Hsuan Lai 1 , Dah-Ching Ding 2



    Affiliations

    Abstract

    Background: Coronavirus disease 2019 (COVID-19) has spread rapidly, resulting in a pandemic in January 2020. Few studies have focused on the natural history and consequences of acute liver injury (ALI) in mild or asymptomatic COVID-19 patients, manifested by elevated aminotransferase levels. ALI is usually expected for severe COVID-19 cases. Here, we present a COVID-19 case with mild respiratory symptoms and significantly elevated alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels.
    Case summary: A 60-year-old woman without medical history or chronic illness received three COVID-19 vaccinations since the start of the pandemic. The patient was infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and presented with mild symptoms on July 12th, 2022. Post-recovery, she underwent an examination at our hospital on August 30th, 2022. AST and ALT levels in the liver function test were 207 U/L (normal value < 39, 5.3-fold increase) and 570 U/L (normal value < 52, 10.9-fold increase), respectively. The patient was diagnosed with ALI, and no treatment was prescribed. The following week, blood tests showed a reduction in both levels (ALT 124 U/L, AST 318 U/L). Two weeks later, AST and ALT levels had decreased to near the expected upper limits (ALT 40 U/L, AST 76 U/L).
    Conclusion: Clinicians should pay attention to liver function testing during COVID-19 recovery regardless of the disease's severity.

    Keywords: Alanine aminotransferase; Aspartate aminotransferase; COVID-19; Case report; Hepatitis; Pneumonia.

Working...
X