Table 2. Other clinically significant laboratory results and imaging.

ANA: antinuclear antibody, ANCA: antineutrophil cytoplasmic antibody, anti-GBM: antiglomerular basement membrane antibody, anti-PF4: IgG antibody against platelet factor 4 (PF4)/heparin complex

Laboratory test	Results
1) Autoimmune workup for acute kidney injury	Negative (ANA, ANCA, anti-GBM)
2) Acute viral hepatitis panel	Negative
3) Blood cultures at admission	Both sets were positive for F. tularensis
4) Blood cultures on day five post-admission	Both sets were positive for F. tularensis
5) Ehrlichiosis serology	Negative
6) Francisella tularensis serology at discharge	Positive for elevated IgM and IgG antibodies to F. tularensis
7) Heparin-induced thrombocytopenia panel	Negative (anti-PF4 reflexed to serotonin release assay)
8) Lyme disease serology	Negative
9) Left groin abscess culture	Mixed flora
10) Peripheral smear done at admission	Revealed leukopenia and thrombocytopenia, no blasts or schistocytes seen, Megakaryoblasts were seen, and positive for toxic vacuolation and Döhle bodies
11) Rickettsia serology	Negative
12) Stool pathogen panel	Negative
13) Stool ova and parasites	Negative
14) Stool culture	No growth
15) Arsenic, lead, and heavy metal toxicity	Negative
16) Ultrasound abdomen	Hepatomegaly (length > 20.6 cm) and spleenomegaly (length > 15 cm)
17) Transthoracic echocardiogram	Normal left ventricle systolic and diastolic function
18) CT chest	Bilateral moderate pleural effusions with adjacent compressive atelectasis and multifocal ground glass opacities inflammatory in nature
19) Positron emission tomography-CT	Negative for focal uptake, positive for multiple reactive left groin and iliac chain lymph nodes
20) Magnetic resonance imaging of the brain	Negative for any acute abnormality
21) CT head perfusion and angiogram of the head and neck	Negative for any acute intracranial and vascular abnormality