Case Report
Spirochetes in the Liver: An Unusual Presentation of a Common STI
Table 1
Pertinent labs prior to and after treatment.
| Days from treatment | AST (IU/L) | ALT (IU/L) | Alkaline phosphatase (IU/L) | Total bilirubin (mg/dL) | PLT | INR |
| T − 4 | 193 | 118 | 1074 | 5.9 | 171 | 1.6 | T − 3 | 201 | 126 | 1144 | 9.1 | 166 | 1.7 | T | 330 | 125 | 1149 | 8.7 | 148 | 1.8 | T + 4 | 277 | 120 | 835 | 8.3 | 137 | 1.6 | T + 7 | 226 | 116 | 866 | 8.0 | 153 | 1.6 | T + 12 | 217 | 127 | 894 | 4.4 | 159 | 1.6 | T + 16 | 208 | 119 | 816 | 3.3 | 163 | 1.6 |
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T = day of penicillin treatment initiation.
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