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Table 1 Evolution of laboratory parameters and discontinuation of therapy

From: Acute Hepatitis E Virus infection with coincident reactivation of Epstein-Barr virus infection in an immunosuppressed patient with rheumatoid arthritis: a case report

Parameter (Reference or limit of detection)

Day after onset of illness

 

8

9

12

21

40

75

AST (<40 U/l)

1920

1787

578

53

31

26

ALT(<55 U/l)

1743

1650

1021

122

27

25

yGT(<35 U/l)

265

226

221

102

35

20

ALP (42–98 U/l)

352

296

302

150

70

58

Bilirubin (<20 umol/l)

15

15

13

16

  

CRP(<5 mg/l)

41

35

14

37

12

4

CMV IgG (neg)

Neg

     

CMV IgM (neg)

Neg

     

Hepatitis A IgM (neg)

Neg

     

HBs Antigen (neg)

Neg

     

HBc Ig (neg)

 

Pos

  

Neg

 

HBc IgM (neg)

 

Pos

  

Neg

 

HBe Ig (neg)

 

Neg

  

Neg

 

HBe Antigen (neg)

 

Neg

    

HBs Ig (neg)

 

Neg

    

HBV DNA (<9 IU/ml)

  

<9

   

Hepatitis C Ig (neg)

Neg

     

EBV VCA IgG (neg)

 

Pos

    

EBV NA1 IgG (neg)

 

Pos

    

EBV VCA IgM (neg)

 

Pos

  

Pos

 

EBV DNA (<122 IU/ml)

  

566

 

<122

<122

Heterophile IM (neg)

Neg

     

HEV IgG (neg); Diapro

 

Pos

    

HEV IgM (neg); Diapro

 

Pos

    

HEV IgG (<1.0 index); Wantai

5.3

   

19.4

19.5

HEV IgM (<1.0 index); Wantai

10.4

   

10.6

10.6

HEV RNA (<1000 cc/ml)

   

8959

<1000

<1000

Stop (\) and reinitiation (/) of

      

- Prednisolon therapy

8 \

    

/ 48

- Methotrexate therapy

8 \

    

/ 63