LIver Enzymes Count at 1,740

Hi,

I just left a hospital. I was told my liver enzymes count was 1,740 - most likely as a result of poisoning. This could have been caused by Zmax, a new generation antibiotic with extended release which I was prescribed on January 3, 2007 for a sinusitis. Since I had Hepatitis B 27 years ago (at the age 12 and I am now 39 years old) the doctor told me this drug should have been prescribed to someone with a liver condition. Another option is whether I may have contracted Hepatitis A which given I already had Hepatitis B could have worsened my condition so drastically. I was prescribed Epivir HB which I am supposed to take for thirty days to control the virus.

I became yellow and my urine looked very ripe orangy or later was the same color (almost) as Coca Cola. I checked into teh hospital that same afternoon, last Saturday, February 17, 2007.

Consequently, I was wondering what it means to me.  Will I need a liver replacement.  Is there a chance I will be able to control the virus with the Ipivir HB I was given?  What may happen to me?  Is there any diet I should follow?  Is there a risk I can spread this to other people by just being around them (public places, visiting friends and relatives, etc.)?

Basicly, the answer I am looking for is what d I do next to help myself and also how serious really my condition is at the present time.  If you could provide answers to these questions, I will appreciate it a great deal. Thank you in advance.

[Kevin Pho, MD]

To answer your questions:
1) If the cause of the elevated enzymes is found and corrected, and the enzymes are trending down, it is unlikely that you would need a liver replacement.

2) Yes, there is a possibility that the medications you were given would control the virus.  

3) I would avoid Zmax and other medications that can damage the liver, such as Tylenol.  

4) As for transmission, if you are positive for Hepatitis A and B, there will always be a risk for spreading the virus.

5) I would find a definitive cause for the enzyme elevation.  An ultrasound and liver biopsy would help in determining the cause.  If negative, and attributed to medication, avoiding that particular medication would be recommended.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_