Table 1.
Initial Lab Investigations | Case 1 | Case 2 |
---|---|---|
White blood cell count (ref range, 4.5–11.0 K/μL), K/μL | 15.51 | 15.44 |
% neutrophils | 91.7 | 87.6 |
Hematocrit (ref range, 41.0–53.0%), % | 35.8 | 22.5 |
Platelets (ref range, 150–400 K/μL), K/μL | 389 | 403 |
Serum sodium (ref range, 136–145 mmol/L), mmol/L | 133 | 140 |
Serum bicarbonate (ref range, 20–31 mmol/L), mmol/L | 26 | 10 |
Serum creatinine (ref range, 0.50–1.30 mg/dL), mg/dL | 0.60 | 15.04 |
Venous pH (ref range, 7.32–7.42) | N/A | 7.14 |
HIV 1/2 Ab/Ag | Negative | Negative |
CSF RBC count (ref range, 0–5 /μL), /μL | 4 | 61 |
CSF WBC count and differential (ref range, 0–5/μL), /μL | 83 (31% PMNs, 47% lymphs) | 1 (61% lymphs) |
CSF glucose (ref range, 50–75 mg/dL), mg/dL | 50 | 71 |
CSF protein (ref range, 5–55 mg/dL), mg/dL | 81 | 30 |
CSF HSV 1/2 PCR | Negative | Negative |
CSF VZV PCR | Negative | Negative |
CSF adenovirus PCR | Negative | Negative |
CSF enterovirus PCR | Negative | Negative |
CSF culture | Negative | Negative |
Abbreviations: Ab, antibody; Ag, antigen; CSF, cerebrospinal fluid; HIV, human immunodeficiency virus; HSV, herpes simplex virus; PCR, polymerase chain reaction; RBC, red blood cell; WBC, white blood cell; VZV, varicella zoster virus.