Other Viruses That Affect the Liver

  • Authors: Lisa VanWagner, MD, MSc, FAST (More Info)
  • Editor In Chief: Stefan Zeuzem, MD
  • Last Reviewed: 9/4/18 (What's New)

Summary

  • Immunocompetent individuals infected with CMV are generally asymptomatic or may present with mild elevation in aminotransferase levels, rarely leading to severe hepatitis[Cohen 1985; Just-Nübling 2003]
  • In immunocompromised patients, CMV hepatitis typically manifests as elevated concentrations of gamma glutamyltransferase and alkaline phosphatase, peaking 2-4 days later than aminotransferase levels, with only minimally increased bilirubin

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