Some causes of elevated total bilirubin include
hepatitis, cholangitis, biliary obstruction, mononucleosis , Dubin-Johnson
syndrome, Gilbert disease, prolonged fasting, pernicious anemia, cirrhosis,
neoplasia, alcoholism , hemolytic anemias, hematoma, blood transfusion of
several units over a short time, pulmonary embolism, and congestive heart
failure. In additon numerous drugs including phenytoin, phenothiazines,
erythromycin, penicillin, sulfonamides, oral contraceptives, halothane,
aminosalicylic acid, isoniazid, methyldopa, and indomethacin may cause elevated
total bilirubin.
References:
Abbassi-Ghanavati M, Greer LG, Cunningham FG. Pregnancy and laboratory
studies: a reference table for clinicians. Obstet Gynecol. 2009
Dec;114(6):1326-31. PMID:19935037
Wallach, J. Interpretation
of Diagnostic Tests, Eighth ed. Lippincott Williams & Wilkins, 2007 Fischbach FT, Dunning MB III, eds.
A Manual of Laboratory and Diagnostic Tests, 7th ed. Philadelphia,
Lippincott Williams and Wilkins,2004