liver biopsy
The liver biopsy was consisted of mild lobular and portal inflammation dominated by lymphocytes. Moderate macrovesicular and mild microvesicular steatosis with diffuse distribution were noted. Moderate ballooning degeneration of hepatocytes with moderate bile pigment were identified. Hemorrhage and congestion as well as focal necrosis were also detected. Cytopathic effect and fibrosis were not seen. These findings indicated the injury could have been caused by either SARS-COV-2 infection or drug induced liver damage.