Case Report
A Very Rare Complication of Hepatitis A Infection: Acute Myocarditis—A Case Report with Literature Review
Table 1
Key laboratory values on admission.
| | Laboratory | Value | Normal |
| | Hemoglobin/hematocrit | 15.8 g/dL/45.5% | 12.1–15.0 g/dL | | Platelets | 148 g/L | 150–400 bil/L | | AST (U/L) | 6,769 | 10–37 | | ALT (U/L) | 8479 | 8–37 | | ALP (U/L) | 149 | 30–110 | | Albumin (g/dL) | 3.7 | 3.5–5.1 | | Total bilirubin (mg/dL) | 7.1 | 0.3–1.2 | | Direct bilirubin (mg/dL) | 4.2 | 0.0–0.3 | | INR | 2.0 | 1.0 | | Calcium (mg/dL) | 9.1 | 8.4–10.4 | | Fibrinogen (mg/dL) | 143 | 175–375 | | Acetaminophen level (mcg/mL) | <3.0 | 0.0–30.0 | | Acute hepatitis panel | HAV IgM positive | Negative | | Partial thromboplastin time (seconds) | 40.4 | 23.0–30.0 | | Lipase (U/L) | 71 | 7–60 | | Blood urea nitrogen (mg/dL) | 19 | 8–22 | | Creatinine (mg/dL) | 0.79 | 0.60–1.40 | | Glomerular filtration rate (GFR) (mL/min/1.73 m2) | 100 | >59 | | Factor V activity | 67 | 60–120% | | Lactic acid | 5.8, 2.4 mg/dL | 0.5–2.2 mmol/L | | Heterophile antibody | Negative | Negative | | EBV IgM (U/mL) | 56.1 | 0–35.9 | | EBV nuclear Ag (U/mL) | 499.0 | 0–17.9 | | EBV IgG (U/mL) | >750 | 0–17.9 | | EBV early Ag (U/mL) | 44.8 | 0–8.9 | | EBV by PCR | Not detected | Not detected |
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AST = aspartate aminotransferase; ALT = alanine aminotransferase; ALP = alkaline phosphatase.
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