This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
All are true about salmonella hepatitis except: 
Select and explain. 
A. High grade fever with relative bradycardia, B. Biochemical profile suggestive of infiltrative liver disease pattern, C. Usually Anicteric, D. ALT / LDH ratio will be >5
D: ALT / LDH ratio will be >5
Answer: D: ALT / LDH ratio will be >5 
Explanation: SALMONELLA HEPATITIS High fever / Relative bradycardia . Biochemical profile suggestive of infiltrative process . Dispropoionately increased ALP is seen Many cases are anicteric ALT / LDH ratio is <4 . If the ratio is >5 is suggestive of viral hepatitis . liver histology show ballooning degeneration with vacuolation and biliary canalicular injury Occasionally lymphoid models seen. Fluoroquinolone is the therapy of choice. Other useful drugs- Azithromycin/ ceftriaxone / Cefotaxime. Ref: schiff's diseases of liver : E - 11.P-233.