Disproportional exaggerated aspartate transaminase is a useful prognostic parameter in late leptospirosis
Disproportional exaggerated aspartate transaminase is a useful prognostic parameter in late leptospirosis作者机构：Department of Hepatogastroenterology Chang Gung MemorialHospital 5 Fu-Shin Street Kweishan Taoyuan Taiwan China Department of Nephrology chang Gung MemorialHospital Taoyuan Taiwan China Department of Surgery Chang Gung MemorialHospital Taoyuan Taiwan China National Taiwan University Taipei Taiwan China Supported by the Chang Gung Medical Research Project fundNo. CMRPG 33014
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2005年第11卷第35期
页 面：5553-5556页
核心收录：
学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学]
基 金：Supported by the Chang Gung Medical Research Project fund No. CMRPG 33014
主 题：Leptospirosis Liver Aspartate transaminase Alanine transaminase AST/ALT ratios
摘 要：AIM: To evaluate the hepatic dysfunction in leptospirosis is usually mild and resolved eventually. However,sequential follow-up of liver biochemical data remained lacking..METHODS: The biochemistry data and clinical symptoms of 11 sporadic patients were collected and analyzed, focusing on the impacts of leptospirosis upon liver biochemistry ***: The results disclosed that of the 11 cases, 5 or 45% died. The liver biochemistry data in the beginning of the disease course were only mildly ***, late exaggerated aspartate transaminase (AST)elevations were noted in three cases who finally died when compared with the typical course. Besides, significant higher AST/alanine transaminase (ALT) ratios (AARs) of the peak levels for transaminase were also noted in the cases who eventually succumbed. The mean±SD of AARs for the survival group and dead group were 5.65±2.27 (n = 5)and 1.86±0.64 (n = 6) respectively (P= 0.006). The ratios of the cases who finally died were all more than ***, the survival group s ratios were less than ***: Serial follow-up of transaminase might provide evidence to predict some rare evolutions in leptospirosis. If AST elevated progressively without a concomitant change of ALT, it might indicate an acute disease course with ensuing death. Additionally, AAR is another prognostic parameter for leptospirosis. Once the value was higher than 3.0, a grave prognosis is inevitable.
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