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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can High GGT & CMV Levels Indicate Splenic Involvement?

I recently had bloodwork done showing normal liver enzymes with the exception of an elevated GGT. Symptomatically, my greatest complaint was fatigue. my mono spot came back neg but CMV was pos. It's been about 3 weeks now, and my fatigue is resolving but I now have had a week of pain on my left side esecially with inhalation. A urine dip showed some Leukocytes and antibiotics were started, but they don't seem to be resolving the discomfort on my side. Should I be concerned? With a hx of an elevated GGT and CMV, could there be some splenic involvement?
Fri, 17 Aug 2018
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Along with SGOT/SGPT ratio more than 2 times normal with correlation with LDH signifies that it is caused by alcohol intake. Only GGT elevation is not of much significance. CMV infection may cause weakness and viral pneumonitis etc. Pain at left lower lung may be due to pleuracy or pneumonia. Until examination is done it is difficult to say what it is.

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Can High GGT & CMV Levels Indicate Splenic Involvement?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Along with SGOT/SGPT ratio more than 2 times normal with correlation with LDH signifies that it is caused by alcohol intake. Only GGT elevation is not of much significance. CMV infection may cause weakness and viral pneumonitis etc. Pain at left lower lung may be due to pleuracy or pneumonia. Until examination is done it is difficult to say what it is. Hope I have answered your query. Let me know if I can assist you further.