Patient's question:
At two months, the baby had a yellow sclera. The hospital conducted a thorough examination for jaundice, and the doctor ordered a blood test to check liver function. The test results showed that all indicators were three to four times higher than normal. The doctor recommended admission to the intensive care unit, diagnosing acute liver injury and the presence of cytomegalovirus in the body. The doctor then said that antiviral medication (ganciclovir) and liver-protecting medication (ademetionine) had already been started, and that three treatment cycles were needed. The first cycle involved numerous tests, and the baby was hospitalized for about 20 days in total. After discharge for a week, the second cycle lasted another week, followed by another week of discharge. The third cycle has now begun. Recent tests for alanine aminotransferase (ALT) and aspartate aminotransferase (AST) still showed high levels. All other indicators have fully recovered to normal values, but cytomegalovirus is still present in the body. The blood test for cytomegalovirus was negative (it's unclear whether this is good or bad), and the test results for urine are still pending! I want to ask: is blood testing more accurate than urine testing? What are the normal values? If the baby has cytomegalovirus, can they still breastfeed? Below is the first test result.Doctor's answer:
From the situation you described, it is inferred that the child has been diagnosed with jaundice and acute liver injury. Through treatment, the current levels of ALT (alanine aminotransferase) and AST (aspartate aminotransferase) indicate that liver damage has not yet fully recovered, and liver-protecting treatment is still necessary. Regarding the CMV (cytomegalovirus) test, it is negative (after careful examination), which proves that it has healed on its own. Currently, the child can breastfeed. For tests, blood tests are significantly more accurate than urine tests.