PMC4929370_01
Chronological trend of liver enzymes during the postoperative course.
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F1
The laboratory test of the next day showed a strong increase of the liver enzymes with ALT 1,521 U/l, AST 1,336 U/l and GGT 618 U/l (fig. 1). With the working diagnosis of a cholangitis with increasing liver enzymes, infectious parameters with C-reactive protein (CRP) 267 mg/l and leucocytes (LC) 15 x 109/l at their maximum and impaired coagulation with a spontaneous international normalized ratio of 1.2 (fig. 1, fig. 2, fig. 3), antibiotic therapy with amoxicillin/clavulanic acid was initiated.
Chronological trend of infectious parameters given as CRP and LC during the postoperative course.
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PMC4929370_01_crg-0010-0036-g03.jpg
F3
With the working diagnosis of a cholangitis with increasing liver enzymes, infectious parameters with C-reactive protein (CRP) 267 mg/l and leucocytes (LC) 15 x 109/l at their maximum and impaired coagulation with a spontaneous international normalized ratio of 1.2 (fig. 1, fig. 2, fig. 3), antibiotic therapy with amoxicillin/clavulanic acid was initiated.