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The bottom line. Elevated ferritin levels are usually due to causes such as acute or chronic inflammation, chronic alcohol consumption, liver disease, renal failure, metabolic syndrome, or malignancy rather than iron overload.
For the purposes of categorization, possible infectious causes of a markedly elevated ferritin level had to be either acute and severe (ie, requiring inpatient admission and/or aggressive antibiotic therapy) or chronic in nature, requiring long-term antibiotics and/or surgical debridement.