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Open heart surgery , elevated SGPT levels and fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2302 Questions
User :   hi doctor,
i have some questions
User :   hello
Doctor :   Dr. XXXXXXXX here
Doctor :   please proceed with your health query
User :   hello dr
User :   dear dr., i had undergone an open heart surgery for 2 valves (metalic) replacement (aortic & mitral) in the year 2000. currently i am taking acitrom 2mg per day & cordarone x twice a day.
User :   my current problem is fever
User :   i have fever since last 7 days
Doctor :   ok
User :   all the blood test are ok
User :   but, my liver size has increased (sgpt 600)
Doctor :   ok
Doctor :   when was your last follow up visit?
User :   on the 2nd day after hospitalisation i got some infection in testis as well
User :   i am in a hospital only
Doctor :   ok.
User :   my doctors are not able to find out the reason
User :   same thing had happened 2 yrs back as well
Doctor :   have they been monitoring the INR?
User :   could it be a side effect of cordaone x
User :   yes
User :   it is 1.8
Doctor :   ok. what were the last values and when was it done?
Doctor :   was any ultrasound scan for abdomen done?
User :   yes
User :   sonogaphy is done
Doctor :   could you type the sonography result for liver findings?
User :   wait a min
Doctor :   sure
User :   shows normal shape, pusn & echotexture. there is no evidence of mass effect. Biliary & portal redicles are norml in calibre and outline. no local, nor focal mass effect noted.
Doctor :   ok
Doctor :   then there is no effect on liver much, the SGPT elevation
Doctor :   will need further investigations
Doctor :   have they tested for hepatitis C, A and B?
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