Chronic Hepatitis E Infection Resulting in Graft Failure in a Liver Transplant Tourist

Table 1

Serial liver tests for patient Mr. X.

(a)

Date	Oct-09	24 Nov-09	28 Nov-09	4 Dec-09	12 Dec-09
Event	pre-OLT	OLT 3 Nov-09	ERCP 26 Nov-09	Liver biopsy	Liver biopsy 11 Dec-10; ERCP 11 Dec-10
Bilirubin	14	246	298	453	458
(Normal: 3–24 umol/L)
Alkaline phosphatase	224	319	244	251	138
(Normal 32–103 U/L)
Alanine transaminase	22	129	151	285	169
(Normal: 7–36 U/L)
Aspartate transaminase	43	138	172	407	164
(Normal: 15–33 U/L)
𝛾-Glutamyl transferase	—	192	126	100	77
(Normal: 11–63 U/L)

(b)

Date	17 Dec-09	Feb-10	Mar-10	Apr-10
Event	ERCP 14 Dec-10	Liver biopsy	ERCP stent change	2 weeks prior to demise
Bilirubin	471	438	457	662
(Normal: 3–24 umol/L)
Alkaline phosphatase	128	277	372	951
(Normal 32–103 U/L)
Alanine transaminase	163	257	121	168
(Normal: 7–36 U/L)
Aspartate transaminase	137	207	128	264
(Normal: 15–33 U/L)
𝛾-Glutamyl transferase	67	227	207	180
(Normal: 11–63 U/L)