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Asymptomatic COVID-19 presenting with features of mixed pattern acute liver injury in a young healthy female, a case report

COVID-19 associated severe acute liver injury in a young healthy patient has not been reported much in the literature. And currently, there are no standard management guidelines. We want to report a case of acute liver injury of mixed pattern in a young healthy female with asymptomatic COVID-19 infe...

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Detalles Bibliográficos
Autores principales: Iqbal, Phool, Karki, Prava, Abdelmottaleb, Wael, Al-Khazraji, Yamama, Mirza Fawad, Ahmed, Madani, Kulsum, Ahmed, Farhan, Nawaz, Shoaib, Jamshaid, Muhammad Bilal, Fernando, Quesada Mata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Author(s). Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239287/
https://www.ncbi.nlm.nih.gov/pubmed/37349241
http://dx.doi.org/10.1016/j.jiph.2023.05.040
Descripción
Sumario:COVID-19 associated severe acute liver injury in a young healthy patient has not been reported much in the literature. And currently, there are no standard management guidelines. We want to report a case of acute liver injury of mixed pattern in a young healthy female with asymptomatic COVID-19 infection. She presented with abdominal pain, nausea, vomiting and yellowish discoloration of her skin. Further laboratory investigations revealed mixed pattern liver injury with highly raised liver enzymes. She was managed with N-acetyl cysteine protocol and monitoring of her liver enzymes. Other causes of acute liver injury were ruled out. She remained stable during her hospital stay and follow up. Our aim is to highlight the significance of acute liver injury in COVID 19 patients that may lead to fatal outcomes if not managed and monitored accordingly.