Sequential changes of serum aminotransferase levels in patients with severe acute respiratory syndrome

Keng Liang Wu, Sheng Nan Lu, Chi Sin Changchien, King Wah Chiu, Chung Huang Kuo, Seng Kee Chuah, Jien Wei Liu, Meng Chih Lin, Hock Liew Eng, Shun Sheng Chen, Chuan Mo Lee*, Chao Long Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

20 Scopus citations

Abstract

Severe acute respiratory syndrome (SARS) is a newly emerging infectious disease. To describe the hepatic injury caused by this disease, we report the sequential changes of serum transaminase in probable SARS patients during a hospital outbreak in southern Taiwan. From April to June, 2003, 52 probable SARS patients were hospitalized. Serial serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels were retrospectively analyzed and hepatitis B surface antigen (HBsAg) was also evaluated to correlate with the progression of this disease. Fifty-three percent of the patients had abnormal liver function during hospitalization. More than 70% of abnormal transaminase levels were mildly elevated. Most elevated levels were noted during the second week after onset of fever. Neither transaminase elevation nor HBsAg was related to the prognosis of SARS, and only advanced age was an independent predictor of poor outcome. Our study suggested that coronavirus causing SARS might induce liver damage.

Original languageEnglish
Pages (from-to)125-128
Number of pages4
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume71
Issue number2
DOIs
StatePublished - 08 2004
Externally publishedYes

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