Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent Data
The COVID-19 outbreak is a great threat to public health worldwide. Lung injury is the main outcome of COVID-19 infection; however, damage can occur in other organs including the liver. Currently, limited data are available that link underlying liver injury with the severe SARS-CoV-2 infection. This...
Main Author: | |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2020-07-01
|
Series: | Frontiers in Medicine |
Subjects: | |
Online Access: | https://www.frontiersin.org/article/10.3389/fmed.2020.00458/full |
id |
doaj-4cfbe740e2ca4083900f34222241b9cc |
---|---|
record_format |
Article |
spelling |
doaj-4cfbe740e2ca4083900f34222241b9cc2020-11-25T03:30:08ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-07-01710.3389/fmed.2020.00458561161Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent DataNurshad AliThe COVID-19 outbreak is a great threat to public health worldwide. Lung injury is the main outcome of COVID-19 infection; however, damage can occur in other organs including the liver. Currently, limited data are available that link underlying liver injury with the severe SARS-CoV-2 infection. This review summarizes the available data on liver test abnormalities in COVID-19 patients; critically evaluates the possible causes of liver injury and provides recommendations for clinicians. In laboratory tests, serum levels of liver test markers notably transaminase, gamma-glutamyl transferase and total bilirubin were significantly higher in severe patients with COVID-19 infection. The use of certain drugs especially lopinavir and ritonavir showed an association with the progression of liver damage in severe cases. Available data suggest that liver injury in COVID-19 patients may result from direct effect by the virus, immune-mediated inflammation or drug-induced toxicity. Some studies demonstrated that COVID-19 patients with pre-existing liver disease are at higher risk for hospitalizations and mortality. Therefore, the impact of pre-existing liver disease on treatment and clinical outcomes of COVID-19 should be determined. Large-scale clinical studies are needed to identify the causes of liver injury in patients with COVID-19 infection.https://www.frontiersin.org/article/10.3389/fmed.2020.00458/fullSARS-CoV-2COVID-19liver enzymesliver diseaseliver injury |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nurshad Ali |
spellingShingle |
Nurshad Ali Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent Data Frontiers in Medicine SARS-CoV-2 COVID-19 liver enzymes liver disease liver injury |
author_facet |
Nurshad Ali |
author_sort |
Nurshad Ali |
title |
Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent Data |
title_short |
Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent Data |
title_full |
Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent Data |
title_fullStr |
Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent Data |
title_full_unstemmed |
Relationship Between COVID-19 Infection and Liver Injury: A Review of Recent Data |
title_sort |
relationship between covid-19 infection and liver injury: a review of recent data |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Medicine |
issn |
2296-858X |
publishDate |
2020-07-01 |
description |
The COVID-19 outbreak is a great threat to public health worldwide. Lung injury is the main outcome of COVID-19 infection; however, damage can occur in other organs including the liver. Currently, limited data are available that link underlying liver injury with the severe SARS-CoV-2 infection. This review summarizes the available data on liver test abnormalities in COVID-19 patients; critically evaluates the possible causes of liver injury and provides recommendations for clinicians. In laboratory tests, serum levels of liver test markers notably transaminase, gamma-glutamyl transferase and total bilirubin were significantly higher in severe patients with COVID-19 infection. The use of certain drugs especially lopinavir and ritonavir showed an association with the progression of liver damage in severe cases. Available data suggest that liver injury in COVID-19 patients may result from direct effect by the virus, immune-mediated inflammation or drug-induced toxicity. Some studies demonstrated that COVID-19 patients with pre-existing liver disease are at higher risk for hospitalizations and mortality. Therefore, the impact of pre-existing liver disease on treatment and clinical outcomes of COVID-19 should be determined. Large-scale clinical studies are needed to identify the causes of liver injury in patients with COVID-19 infection. |
topic |
SARS-CoV-2 COVID-19 liver enzymes liver disease liver injury |
url |
https://www.frontiersin.org/article/10.3389/fmed.2020.00458/full |
work_keys_str_mv |
AT nurshadali relationshipbetweencovid19infectionandliverinjuryareviewofrecentdata |
_version_ |
1724577049801129984 |