Table 1.
Patient | Patient1 | Patient2 | Patient 3 | Patient 4 |
---|---|---|---|---|
Siblings | ||||
Gender | Female | Female | Male | Male |
Age | 6 months | 3 years | 8 years | 15 years |
Onset age | 2 days | 5 days | 3 days | 3 days |
Presenting symptoms | Jaundice | Jaundice | Jaundice | Jaundice |
Developmental delay | None | None | None | None |
Other manifestation | Sepsis | None | Recurrent respiratory tract infections | Recurrent respiratory tract infections |
Entericadenovirus infection | EBV infection | |||
Respiratory tract infections | CMV infection | |||
Alanine aminotransferase (7–40 IU/L) | 75.65 | 138.1 | 110 | 445.4 |
Aspartate aminotransferase (0–40 IU/L) | 197.01 | 215.3 | 141 | 170.9 |
Alkaline phosphatase (54–369 IU/L) | 508.48 | 675 | 811 | 557 |
γ-glutamyl transpeptidase (8-57 IU/L) | 956.71 | 832 | 390 | 1042 |
Total bilirubin (5.1-17.1μmol/L) | 111.4 | 193.1 | 175.2 | 236.3 |
Direct bilirubin (0-6 μmol/L) | 90.5 | 164.7 | 108.6 | 165.6 |
Total bile acid (0-10μmol/L) | 321.5 | 91.6 | 304.4 | NA |
MRCP | NA | NA | Multiple cystic dilatations of intrahepatic bile ducts | NA |
Laparoscopic cholangiography | Bile duct patency | The hilar bile duct was clouded and bile duct was unobstructed | Hepatobiliary isotope imaging excluded biliary atresia | NA |
MRCP, magnetic resonance cholangiopancreatography; NA, not available.