Spirochetes in the Liver: An Unusual Presentation of a Common STI

Table 1

Pertinent labs prior to and after treatment.

Days from treatment	AST (IU/L)	ALT (IU/L)	Alkaline phosphatase (IU/L)	Total bilirubin (mg/dL)	PLT	INR
T − 4	193	118	1074	5.9	171	1.6
T − 3	201	126	1144	9.1	166	1.7
T	330	125	1149	8.7	148	1.8
T + 4	277	120	835	8.3	137	1.6
T + 7	226	116	866	8.0	153	1.6
T + 12	217	127	894	4.4	159	1.6
T + 16	208	119	816	3.3	163	1.6

T  =  day of penicillin treatment initiation.