18 August 2021
: Case report 
A 55-Year-Old Japanese Man with Multiple Sclerosis Diagnosed with Disseminated Tuberculosis Identified by Liver Function Abnormalities: A Case Report
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Adverse events of drug therapy, Educational Purpose (only if useful for a systematic review or synthesis)
Akio Miyasaka1ABCDEF*, Shinichirou Sato2BCD, Tomoyuki Masuda3CD, Yasuhiro Takikawa1ADOI: 10.12659/AJCR.931369
Am J Case Rep 2021; 22:e931369
Table 1. Laboratory data on admission.
| Hematology | Biochemistry | Immunology | ||||||
|---|---|---|---|---|---|---|---|---|
| WBC | 11120 | /μL | TP | 8.2 | g/dL | TSH | 2.03 | μIU/mL |
| Neutrophils | 77.0 | % | Alb | 4.1 | g/dL | FT3 | 2.52 | pg/mL |
| Lymphocyte | 13.4 | % | T-Bil | 0.3 | mg/dL | FT4 | 0.83 | ng/dL |
| Monocyte | 5.5 | % | AST | 28 | U/L | IgG | 1852 | mg/dL |
| Eosinophils | 1.5 | % | ALT | 62 | U/L | IgA | 294 | mg/dL |
| Basophils | 0.9 | % | LDH | 242 | U/L | IgM | 100 | mg/dL |
| LUC | 0.9 | % | γ-GTP | 653 | U/L | ANA | <×40 | |
| RBC | 487 | ×10/μL | ALP | 526 | U/L | AMA | <×20 | |
| Hb | 15.0 | g/dL | Na | 140 | mEq/L | ds-DNA Ab | 2.9 | IU/mL |
| Plt | 38.5 | ×10/μL | K | 3.8 | mEq/L | |||
| Cl | 105 | mEq/L | HBs Ag | 0.1 | C.O.I | |||
| PT-INR | 0.98 | BUN | 9.6 | mg/dL | HCV Ab | 0.1 | S/CO | |
| PT | 100 | % | Cre | 0.8 | mg/dL | HLTV-I Ab | 0.1 | C.O.I |
| APTT | 36.9 | Sec | CRP | 6.0 | mg/dL | Endotoxin | <1.0 | pg/mL |
| Fibrinogen | 609.8 | mg/dL | BS | 107 | mg/dL | β-D-glucan | <6.0 | pg/mL |
| FDP | <2.5 | μg/dL | HbA1c | 5.5 | % | |||
| WBC – white blood cells; LUC – large unstained cells; RBC – red blood cells; Hb – hemoglobin; Plt – platelet; PT-INR – prothrombin time-international normalized ratio; PT – prothrombin; APTT – activated partial thromboplastin time; FDP – fibrin degradation products; Alb – albumin; T-Bil – total bilirubin; ALT – alanine aminotransferase; γ-GTP – γ-glutamyl transpeptidase; ALP – alkaline phosphatase; Na – sodium; K – potassium; Cl – chloride; BUN – blood urea nitrogen; Cre – creatinine; CRP – C-reactive protein; BS – blood sugar; HbA1c – glycolated hemoglobin; TSH – thyroid-stimulating hormone; ANA – anti-nuclear antibody; AMA – anti-mitochondrial antibody; ds-DNA Ab – anti-ds-DNA antibody; HBs – Ag hepatitis B surface antigen; HCV Ab – hepatitis C virus antibody; HLVT- I Ab – human T-cell lymphotropic virus type I antibody. | ||||||||