Acute liver failure caused by alkaloids from traditional Chinese medicine: A case report

Table 1 Laboratory values and immunosuppression (operation date: October 30, 2024)

Laboratory tests	Item	POD 0	POD 1	POD 7	POD 14
Blood test	WBC (109/L)	14.23	10.51	7.71	8.00
	RBC (109/L)	1.89	3.20	2.80	2.63
	Hb (g/L)	65.00	101.00	90.00	117.00
	PLT (109/L)	51.00	28.00	53.00	125.00
Biochemistry	ALT (IU/L)	62.00	545.00	61.30	76.80
	AST (IU/L)	116.00	642.20	108.70	82.70
	ALP (IU/L)	96.00	156.00	270.00	202.00
	γ-GT (IU/L)	25.00	211.00	253.20	213.8
	TBIL (μmol/L)	527.10	183.60	314.20	107.1
	DBIL (μmol/L)	166.40	136.10	303.80	85.00
	ALB (g/L)	36.30	36.20	43.00	46.9
	BUN (mmol/L)	8.20	54.00	52.00	53.00
	CREA (μmol/L)	43.00	69.67	29.42	31.66
	Na (mmol/L)	138.00	136.00	138.00	136.00
Coagulation	PT (seconds)	45.28	13.10	14.70	13.30
	INR	4.13	1.13	1.18	1.03
	APTT (seconds)	86.01	27.90	29.90	35.70
	FIB (g/L)	0.47	2.30	3.40	3.57
	TT (seconds)	32.31	18.00	15.10	15.50
Immunosuppressants	Tacrolimus (mg)	-	-	7.26	4.99

POD: Postoperation day; WBC: White blood cell; RBC: Red blood cell; Hb: Hemoglobin; PLT: Platelet; ALT: Alanine aminotransferase; AST: Aspartate aminotransferase; ALP: Alkaline phosphatase; γ-GT: Gamma-glutamyltransferase; TBIL: Total bilirubin; DBIL: Direct bilirubin; ALB: Albumin; BUN: Blood urea nitrogen; CREA: Creatinine; Na: Sodium; PT: Prothrombin time; INR: International normalized ratio; APTT: Activated partial thromboplastin time; FIB: Fibrinogen; TT: Thrombin time.