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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do High SGOT And SGPT Levels After Viral Infection Indicate?

Respected Dr Sahib, My 9 year old son is undergoing treatment for viral ( antibiotic - Oflomoc Forte administered for 5 days). The fever is continuing on the sixth day with lesser interval . Local Pediatrician has after six days asked for the following tests: CBC+ESR+ SGOT SGPT+ Widal+ MP+ Urine Routine. The Widal test report will be received tomorrow. Presently SGOT SGPT repot is at hand (SGOT 180 U/L) (SGPT 110 U/L). Is It suggestive of Liver problem or has the level increased due to antibiotic admistered for 6 days. Kindly reply please Kindest Regards Sandeep R Karwa
Thu, 28 May 2015
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Pediatrician,  's  Response
Hi
Welcome to the HCM

Many diseases and conditions can contribute to elevated liver enzymes. Your doctor determines the specific cause of your elevated liver enzymes by reviewing your medications, your signs and symptoms and, in some cases, other tests and procedures.
In my opinion it can occur due to Hepatitis, Long term paracetamol use, typhoid fever, pancreatitis, polymyositis, mononucleosis, Cytomegalovirus or Epstein-Barr virus infection in your child.
As the levels are moderately raised and no other symptom apart from fever, typhoid is a more likely cause. I would suggest to look at Widal test report and also go for a blood culture and sensitivity test. Changing antibiotic to Cefixime and Azithromycin will help in typhoid.
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What Do High SGOT And SGPT Levels After Viral Infection Indicate?

Hi Welcome to the HCM Many diseases and conditions can contribute to elevated liver enzymes. Your doctor determines the specific cause of your elevated liver enzymes by reviewing your medications, your signs and symptoms and, in some cases, other tests and procedures. In my opinion it can occur due to Hepatitis, Long term paracetamol use, typhoid fever, pancreatitis, polymyositis, mononucleosis, Cytomegalovirus or Epstein-Barr virus infection in your child. As the levels are moderately raised and no other symptom apart from fever, typhoid is a more likely cause. I would suggest to look at Widal test report and also go for a blood culture and sensitivity test. Changing antibiotic to Cefixime and Azithromycin will help in typhoid. For further questions, do contact us.