Introduction
Case presentation
Laboratory results on admission | |||
---|---|---|---|
General
| |||
Admission
|
Discharge
|
1 Month later
| |
WBC
|
13660/μl (range 4000-11000/μl)
|
8780
|
7700
|
NEUT
|
19.2% (range 50-70%)
|
33.6
|
42.4
|
LYMPH
|
63.8% (20-40%)
|
56.3
|
48.1
|
MONO
|
11.6% (range 0-8%)
|
8.9
|
8.2
|
Hct
|
38% (range 36–52%)
|
37.6
|
40.3
|
Hgb
|
13.3gr/dl (11.8-17gr/dl)
|
12.6
|
13.3
|
PLTs
|
176,000/μl (range 150,000-400,000/μl)
|
279,000
|
330,000
|
MCV
|
85fl (range 79-98fl)
|
87,2
|
86,5
|
ESR
|
20 (range 0–10)
|
10
|
8
|
CRP
|
6.7U/L (range <0.5U/L)
|
3
|
1.36
|
Microscopic appearance
| |||
Activated lymphocytes
|
Many
| ||
Coagulation profile – thrombophilia screening
| |||
Admission
|
Discharge
|
1 Month Later
| |
PT
|
13.8sec (ref 13)
|
14
|
13,6
|
aPTT
|
35.6sec (ref 24–36)
|
37.7
|
34.2
|
INR
|
1.08 (ref 1)
|
1.10
|
1.06
|
D-dimers
|
3,93μg/ml (ref 0–0,5)
|
5.13
|
2.24
|
Fibrinogen
|
338mg/ml (ref 200–400)
|
369
|
479
|
Homocysteine
|
8.47μmol (ref 6.3-11.2)
|
Normal
| |
APA
|
Negative
| ||
ACA
|
Negative
| ||
LA
|
Negative
| ||
Anti-thrombin III
|
88% range 80-120
| ||
Protein S
|
52% (normal values 65–140)
|
71%
| |
APC-R
|
153sec (normal >120)
| ||
Protein C
|
74% (normal range 70–130)
|
75%
| |
FV-Q506 (Leiden)
|
Not detectable
| ||
FII (G20210A)
|
Not detectable
| ||
MTHFR (C677T)
|
Heterozygote
| ||
Anti-β2-glycoprotein I (β2GPI-I)
|
Negative
| ||
FV (H1299R)
|
Not detectable
| ||
MTHFR (A1298C)
|
Not detectable
| ||
Serologic tests
| |||
Discharge
|
1 Month later
| ||
EBV
|
Negative
| ||
HBV
|
Negative
| ||
HCV
|
Negative
| ||
HIV
|
Negative
| ||
CMV IgM
|
Positive
| ||
CMV PP65
|
Positive
| ||
ANA
|
Negative
| ||
ANCA
|
Negative
| ||
C3
|
158mg% (range 79.0-152.0)
| ||
C4
|
21.3mg% (range 16.0-38.0)
| ||
PNH
|
Negative
| ||
Biochemical profile
| |||
Admission
|
Discharge
|
1 Month Later
| |
Ca
|
8,6 mg/dl (range 8,8-10,4)
|
9,1
|
9,5
|
Mg
|
2,2 mg/dl (range 1,6-2,3)
|
2
|
2,2
|
Glu
|
110 mg/dl (range 75-115)
|
86
|
91
|
Urea
|
26 mg/dl (range 15-54)
|
27
|
30
|
Crea
|
1 mg/dl (range 0,9-1,6)
|
1
|
1
|
Ur acid
|
4,1 mg/dl
|
4
|
4
|
TP
|
6,3 mg/dl (range 6-8,4)
|
6,5
|
6,4
|
Alb
|
3,3 mg/dl (range 3,5-5,5)
|
3,2
|
3,4
|
Glob
|
3 mg/dl (range 2,5-3,4)
|
3,3
|
3
|
Bil tot
|
1,07 mg/dl (range 0,1-1,3)
|
0,96
|
1,14
|
SGOT
|
67 U/L (range 5-40)
|
41
|
28
|
SGPT
|
119 U/L (range 5-40)
|
93
|
57
|
γGT
|
294 U/L (range 10-50)
|
296
|
200
|
LDH
|
382 U/L (range 120-230)
|
339
|
219
|
CPK
|
64 U/L (range < 190)
|
47
|
59
|
ALP
|
182 U/L (range 34-104)
|
175
|
139
|