PMC5825835_01
Clinical time course in case 1 and case 2: hypoglycemia and liver injury were observed on admission. Their hypoglycemia was improved with intravenous glucose injection and subsequent continuous glucose infusion, but their liver injury was not improved in both cases.
edmcr-2018-170155-g001.jpg
PMC5825835_01_edmcr-2018-170155-g001.jpg
fig1
In addition, both cases had very severe liver injury as follows: (case 1) T-Bil: 1.7 mg/dL U/L; AST: 1102 U/L; ALT: 401 U/L; ALP: 2113 U/L; gamma-GTP: 88 U/L; LDH: 704 U/L; (case 2) T-Bil: 2.2 mg/dL U/L; AST: 2363 U/L; ALT: 1797 U/L; ALP: 4068 U/L; gamma-GTP: 101 U/L; LDH: 1040 U/L (Fig. 1). Fifteen days and thirteen days after the admission, case 1 and case 2 died of multiple organ failure including liver injury (Fig. 1).
Chest computed tomography (CT), abdominal CT and abdominal ultrasonography (US) in case 1 and case 2: in both cases, chest and abdominal computed tomography revealed inflectional area of chest, a little of pleural effusion and ascites.
edmcr-2018-170155-g002.jpg
PMC5825835_01_edmcr-2018-170155-g002.jpg
fig2
Chest and abdominal computed tomography and abdominal ultrasonography revealed inflectional area of chest, a little of pleural effusion and ascites in both cases (Fig. 2).