Ms. Romero is an otherwise healthy medical student who was transferred to the MICU with acute liver failure; isoniazid toxicity. Crystal had a positive PPD screening, negative chest x-ray and started therapy for potential LTBI. After seven weeks the patient felt fatigued, anorexic, jaundiced, RUQ abdominal pain, and was found to have elevated LFT’s & INR. She was originally admitted to INOVA for observation, but was transferred to Medstar Georgetown University Hospital MICU and worked …