Concomitant Cytomegalovirus Viraemia in Multisystem Inflammatory Syndrome in Adults (MIS-A) following COVID-19

Table 1

Biochemical biomarkers.

	Prior to admission	On admission	Day 2	Day 4	Day 6	Day 8	Day 10	Day 12	Hospital discharge	Reference values
Aspartate aminotransferase (AST)	97 U/L	176 U/L	171.7 U/L	151.4 U/L	141.5 U/L	164.3 U/L	166.6 U/L	123.1 U/L	80.1 U/L	0.0–42 U/L
Alanine aminotransferase (ALT)	91 U/L	167 U/L	175 U/L	139 U/L	131 U/L	151 U/L	160 U/L	133 U/L	99 U/L	0–41 U/L
Lactate dehydrogenase (LDH)	319 U/L	408 U/L	400 U/L	347 U/L	308 U/L	320 U/L	372 U/L	322 U/L	187 U/L	122–222 U/L
Gamma-glutamyl transpeptidase (GGT)		278 U/L	429 U/L	426 U/L	577 U/L	654 U/L	813 U/L	638 U/L	458 U/L	0–60 U/L
Reactive C protein	2.9 mg/dL	2.1 mg/dL	5.59 mg/dL	4.66 mg/dL	1.41 mg/dL	1.56 mg/dL	5.55 mg/dL	3.93 mg/dL	0.93 mg/dL	0.00–0.50 mg/dL
Beta-2 microglobulin	—	5.760 mg/L				5.020 mg/L	6.740 mg/L			0.800–2.200 mg/L
D-dimer		2,947 ng/mL FEU				2,121 ng/mL FEU	2,682 ng/mL FEU		5,255 ng/mL FEU	40–500 ng/mL FEU
Ferritin		944 ng/mL					1,362 ng/mL		1,392 ng/mL	30–400 ng/mL
CMV viral load			3,933 UI/mL	6,389 UI/mL	24,639 UI/mL		2,343 UI/mL			Nondetectable