Hepatotoxicity associated with Garcinia cambogia: A case report

Table 1 Laboratory testing done to investigate acute liver failure etiology

Laboratory test	Reference range	Results
Liver function tests
Alanine aminotransferase	15-41 U/L	981 (H)
Aspartate aminotransferase	3-34 U/L	1062 (H)
Alkaline phosphate	45-117 U/L	248 (H)
Total bilirubin	0.2-1.3 mg/dL	1.3 (N)
Conjugated bilirubin	0.0-0.30 mg/dL	0.73 (H)
Total Protein	6.3-8.2 g/dL	6.8 (N)
Albumin	3.5-5.0 g/dL	2.8 (L)
Ammonia level	0-32 μmol/L	44 (H)
Coagulation Studies
Prothrombin time	10-13.5 s	19.0 (H)
International normalized ration	0.8-1.2	1.6 (H)
Viral serologies
Hepatitis A, IgM	Nonreactive	Nonreactive
Hepatitis A, IgG	Nonreactive	Reactive
Hepatitis B, core IgM	Nonreactive	Nonreactive
Hepatitis B, surface antigen	Nonreactive	Nonreactive
Hepatitis C antibody	Nonreactive	Nonreactive
Human immunodeficiency virus 1 and 2 antibody/antigen	Nonreactive	Nonreactive
Herpes simplex virus 1 and 2 IgM	Negative	Negative
Cytomegalovirus, IgM	Negative	Negative
Cytomegalovirus, IgG	Negative	Negative
Epstein Barr virus, IgM	Negative	Negative
Parvovirus B19, IgM/IgG	Negative	Negative
Rapid plasma regain (RPR)	Nonreactive	Nonreactive
Influenza A, antigen	Negative	Negative
Influenza B, antigen	Negative	Positive
Autoimmune liver disease panel
Antinuclear antibody	Negative	Negative
Antinuclear antibody titer	< 1.0 U	0.6 (N)
Antismooth muscle antibody	Negative	Negative
Antimitochondrial antibody, M2	< 0.1 U	< 0.1 (N)
Toxicology studies
Acetaminophen level	10-30 mcg/ml	< 2
Ethanol level	0-3 mg/dL	< 3
Urine toxicology screen	Negative	Negative

H: High; N: Normal; L: Low.