Article Text

PDF
Nutmeg liver, fever and elevated liver enzymes in a young man
  1. Aleksandar Gavrić1,
  2. Rok Dežman2,
  3. Branislava Ranković3,
  4. Marija Ribnikar1,
  5. Borut Štabuc1
  1. 1 Department of Gastroenterology and Hepatology, University Medical Center Ljubljana, Ljubljana, Slovenia
  2. 2 Institute of Radiology, University Medical Center Ljubljana, Ljubljana, Slovenia
  3. 3 Institute of Pathology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
  1. Correspondence to Aleksandar Gavrić, Department of Gastroenterology and Hepatology, University Medical Center Ljubljana, Ljubljana, Slovenia; aleksandar.gavric{at}kclj.si

Statistics from Altmetric.com

Question

A 27-year-old man was admitted to our department because of persistent symptoms of fever, dyspnoea, dry cough, elevated C reactive protein (CRP) (258 mg/L), leucocytosis (17×109/L), peripheral eosinophilia (29%) and elevated liver enzymes (alanine aminotransferase (ALT) 518.2 U/L; aspartate aminotransferase (AST) 192.4 U/L; total bilirubin 1.6 mg/dL direct bilirubin 0.7 mg/dL; alkaline phosphatase 115.9 U/L and gamma glutamyl transferase (GGT) 119,4 U/L). His medical history was unremarkable except for surgery that he underwent 3 weeks ago for his left radius and ulna fracture. Since the surgery, he has been taking paracetamol and sodium metamizole. Empirical antibiotic therapy was initiated.

Chest X-ray revealed small left and large right pleural effusion. CT was performed due …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.