What is the possible cause of elevated procalcitonin, C-Reactive Protein (CRP) and Alanine Transaminase (ALT) more than Aspartate Transaminase (AST) in a patient with Vesicular Stomatitis Virus (VSV) infection taking Aciclovir (acyclovir) and Levocetirizine (levocetirizine)?

Given the patient's VSV infection and lab results, I recommend closely monitoring their condition and adjusting their treatment regimen as needed. The elevated procalcitonin and CRP suggest a possible bacterial co-infection, which may require antibiotic therapy. The ALT elevation more than AST suggests hepatocellular injury, which could be related to the viral infection or Aciclovir treatment. I recommend continuing Aciclovir at the current dose and duration, but with close monitoring of liver function tests. Levocetirizine can be continued as needed for allergic symptoms. If the patient's condition worsens or lab results show significant deterioration, consider adding antibiotics and consulting a specialist for further guidance. Second-line interventions may include antipyretics and anti-inflammatory medications to manage symptoms and reduce inflammation. It is essential to prioritize the patient's safety and adjust the treatment plan based on their clinical response and lab results.