17 November 2020: Articles
A Giant Right-Heart Thrombus-in-Transit in a Patient with COVID-19 Pneumonia
Unknown etiology, Challenging differential diagnosis, Management of emergency care
Hafiz Muhammad Waqas Khan A* , Mahin Raqueeb Khan A , Ahmad Munir A , Anas Moughrabieh B , Hameem Unnabi Changezi ADOI: 10.12659/AJCR.927380
Am J Case Rep 2020; 21:e927380
Table 1. Laboratory data trends on different days during hospitalization.
| Measure | Reference range | Hospital day 1 | Hospital day 6 | Hospital day 16 | Hospital day 26** |
|---|---|---|---|---|---|
| White cell count | 4.5–11×10/µL | 5.41 | 5.75 | 10.76 | 11.89 |
| Absolute neutrophils | 1.40–6.5×10/µL | 4.56 | 5.03 | 8.0 | 8.79 |
| Absolute lymphocytes | 1.20–3.4×10/µL | 0.59 | 0.42 | 1.3 | 1.72 |
| Red cell count | 4.25–5.49×10/µL | 4.97 | 4.7 | 3.37 | 3.03 |
| Hemoglobin | 12–15.7 g/dL | 14.9 | 13.8 | 10.0 | 8.8 |
| Hematocrit | 34.9–46.9% | 43 | 42.1 | 32.1 | 27.9 |
| Platelet count | 140–440×10/µL | 148 | 244 | 277 | 314 |
| Glucose | 70–105 mg/dL | 132 | 162 | 139 | 132 |
| Blood urea nitrogen | 7–22 mg/dL | 22 | 28.8 | 17 | 13 |
| Serum creatinine | 0.5–1.5 mg/dL | 1.08 | 1.18 | 0.66 | 0.55 |
| Sodium | 134–145 mmol/L | 128 | 142 | 140 | 136 |
| Potassium | 3.5–5.1 mmol/L | 3.7 | 3.6 | 2.7 | 4.0 |
| Chloride | 98–112 mmol/L | 88 | 103 | 105 | 101 |
| Carbon dioxide | 24–30 mmol/L | 26 | 26 | 27 | 25 |
| pH arterial | 7.35–7.45 | 7.41 | 7.49 | 7.53 | – |
| pCO arterial | 35–45 mmHg | 38.3 | 36.4 | 33.3 | – |
| pO arterial | 80–100 mmHg | 104.3 | 106.2 | 74.0 | – |
| Bicarbonate arterial | 22–26 mmol/L | 23.8 | 27.4 | 27.3 | – |
| Total protein | 6–8 g/dL | 6.6 | 5.8 | 5.5 | 5.8 |
| Albumin | 3.5–5.0 g/dL | 3.4 | 3.0 | 2.5 | 2.6 |
| Total bilirubin | 0.2–1.3 mg/dL | 0.5 | 1.0 | 0.7 | 0.7 |
| Alanine aminotransferase | 7–56 U/L | 37 | 130 | 41 | 53 |
| Aspartate aminotransferase | 8–40 U/L | 43 | 128 | 32 | 27 |
| Alkaline phosphatase | 39–117 U/L | 46 | 62 | 75 | 67 |
| Total creatine kinase | 57–374 U/L | 147 | 345 | 450 | 39 |
| Ferritin | 22–322 ng/mL | 3626 | 3942 | 1694 | 1185 |
| Venous lactic acid | 0.5–2.0 mmol/L | 1.5 | – | – | – |
| Lactate dehydrogenase | 100–225 U/L | 315 | 438 | 229 | 191 |
| Procalcitonin | 0.02–0.09 ng/mL | 0.36 | – | – | – |
| D-dimer | 0.19–0.52 mg/L | 1.34 | – | 3.03 | 2.02 |
| Interleukin-6 | 13 | 732 | |||
| Troponin-I | 0.00–0.04 ng/mL | 0.37 | |||
| * Values above the normal reference range; # values below the normal reference range; @ values after initiation of mechanical ventilation; ** day of discharge. | |||||