ROBERT G. LOGAN, M.D.; FRANK M. MOWRY, M.D.; RICHARD D. JUDGE, M.D.
Cardiac failure is a recognized cause of hepatic dysfunction. Three cases of congestive failure due primarily to aortic stenosis have recently come to our attention, each of which manifested striking clinical and laboratory evidence of hepatic necrosis. The serum levels of glutamic-oxalacetic transaminase in each instance exceeded 1,000 units. In two of these cases a clinical diagnosis of viral hepatitis was made antemortem, but autopsy in all three showed only centrilobular necrosis of the liver.
A 27-year-old white male was admitted to the University of Michigan Medical Center for the third time on February 2, 1961.
LOGAN RG, MOWRY FM, JUDGE RD. Cardiac Failure Simulating Viral Hepatitis: Three Cases with Serum Transaminase Levels above 1,000. Ann Intern Med. 1962;56:784–788. doi: https://doi.org/10.7326/0003-4819-56-5-784
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Published: Ann Intern Med. 1962;56(5_Part_1):784-788.
Cardiology, Gastroenterology/Hepatology, Heart Failure, Infectious Disease, Liver Disease.
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