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Elevated levels of serum muscle enzymes in the initial phase of tick-borne encephalitis [Elektronski vir]Bogovič, Petra ...Purpose: Since some patients with tick-borne encephalitis (TBE) have pronounced myalgias, and since myositis is reported in Flavivirus diseases such as dengue, we performed systematic search for ... abnormalities of muscle enzymes in a group of patients in whom the presence of tick-borne encephalitis virus (TBEV) RNA in the first phase of the disease was demonstrated and who developed second phase of TBE.Methods: Total leukocyte and platelet blood counts were determined routinely at the initial examination during the first and the second phase of TBE. Activity of aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine kin-ase (CK), myoglobin and troponin was determined from the available stored serum specimens; the first and second phase disease specimens were tested simultaneously.Results: Of 24 patients with biphasic course of TBE, 83% had leukopenia, 65% thrombocytopenia, 83% elevated AST and 4% elevated ALT level. Furthermore, 33% had elevated serum CK, 26% myoglobin and 22% troponin activity; at least one of the muscle enzymes was elevated in 42% of patients. Leukopenia, thrombocytopenia, elevated liver enzymes and elevations of CK and myoglobin were present in the initial phase but resolve later, while troponin abnor-malities were also found in the second phase of TBE.Conclusions: The present study exposes that in addition to previously known leukopenia, thrombocytopenia and increased liver enzymes activity, the initial phase of TBE is relatively often associated also with elevated muscle enzymes. Clinical relevance of these findings remains to be determined.Vir: Infectious diseases. - ISSN 2374-4243 (Vol. 56, iss. 6, 2024, str. 504-509)Vrsta gradiva - e-članekLeto - 2024Jezik - angleškiCOBISS.SI-ID - 193390083
Avtor
Bogovič, Petra |
Lotrič-Furlan, Stanka |
Ogrinc, Katarina |
Avšič-Županc, Tatjana |
Korva, Miša |
Kastrin, Andrej |
Trampuš-Bakija, Alenka, 1969- |
Strle, Klemen |
Strle, Franc, 1949-
Teme
tick-borne encephalitis |
muscle enzymes |
creatine kinase |
myoglobin |
troponin |
klopni encefalitis |
mišični encimi |
kreatin kinaza |
mioglobin |
troponin
Vnos na polico
Trajna povezava
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Bogovič, Petra | 27886 |
Lotrič-Furlan, Stanka | 13299 |
Ogrinc, Katarina | 20254 |
Avšič-Županc, Tatjana | 10331 |
Korva, Miša | 30696 |
Kastrin, Andrej | 26484 |
Trampuš-Bakija, Alenka, 1969- | 20128 |
Strle, Klemen | 30270 |
Strle, Franc, 1949- | 13301 |
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