Table 2.
workup done during the second admission.
| Lab test | Parameter | Result | Reference Range |
|---|---|---|---|
| Blood cell count and differential | White blood cells | 16,000/mm³ | 4000–11000 |
| Neutrophils (%) | 83.7 | 40–65 | |
| Lymphocytes (%) | 11.1 | 25–40 | |
| Hemoglobin (g/dl) | 11.6 | 13–18 (male) | |
| Platelets | 312 × 1000/mm³ | 150–400 | |
| Inflammatory markers | C-reactive Protein (mg/l) | 87.1 | 0–5 |
| Erythrocyte Sedimentation Rate | 91 mm/hr | 0–20 | |
| Procalcitonin | 0.049 | ||
| Kidney Function | Blood urea nitrogen (mg/dl) | 11 | 7–28 |
| Creatinine (mg/dl) | 0.81 | 0.6–1.3 | |
| Liver Function tests | SGOT (IU/l) | 19 | 40 |
| SGPT (IU/l) | 25 | 40 | |
| GGT (IU/l) | 31 | 8–37 | |
| Total Bilirubin (mg/dl) | 0.43 | 0.1–1.2 | |
| Direct Bilirubin (mg/dl) | 0.10 | 0–0.2 | |
| Other | LDH (IU/l) | 210 | 91–180 |
| Homocysteine (umol/l) | 16.36 | 5.46–16.2 | |
| CSF | WBC | 10/mm³ | |
| RBC | None seen | ||
| PMN | 65% | ||
| Lymphocytes | 35% | ||
| Protein (g/l) | 0.36 | 0.15–0.45 | |
| Glucose (mg/dl) | 71 | 40–70 | |
| Gram stain and culture | Negative | ||
| Viral CSF Panel (neuro9 Multiplex) | HSV1, HSV2, VZV, EBV, CMV, HHV6, HHV7, Adenovirus, Human Parechovirus, Human Enterovirus, Mumps virus, & Parvovirus B19 | Not detected | |
| Lipid Panel | Cholesterol (mg/dl) | 233 | < 200 |
| Triglycerides (mg/dl) | 120 | 36–160 | |
| HDL (mg/dl) | 39 | 29–71 | |
| LDL-c (mg/dl) | 170 | 130 | |
| Chol/HDL ratio | 6 | ||
| Endocrinology | TSH (mIU/ml) | 0.215 | 0.27–4.2 |
| HbA1c (%) | 5.8 | ||
| Coagulation | Prothrombin time activity (%) | 91 | |
| INR | 1.07 | ||
| Bleeding time (min/sec) | 5.2 | 1–9 | |
| Coagulation Time (min/sec) | 4 | 4–8 | |
| Urine | Analysis | 3–5 WBC | |
| Culture | No Growth | ||
| Autoimmunity | Factor V Leiden (G1691A) PCR | Not detected | |
| Anticardiolipin Antibodies (IgA, G, M) (RU/ml) | 10.84 | < 12 | |
| Anti-B2 Glycoprotein (IgA,M,G) (RU/ml) | 21.21 | < 20 | |
| Electroencephalogram (EEG) | No epileptic activity | ||
| Ultrasound Doppler Carotids | Normal caliber and flow | ||
Chol: cholesterol, GGT: gamma-glutamyltransferase, HDL: high-density lipoprotein, LDH: lactate dehydrogenase, PCR: polymerase chain reaction, SGOT: serum glutamic oxaloacetic transaminase, SGPT: serum glutamate-pyruvate transaminase, TSH: thyroid-stimulating hormone, WBC: white blood cells.