16 October 2021
: Case report 
Difficulties in Diagnosing and Treating Disseminated Bacillus Calmette-Guérin (BCG) Infection After Intravesical BCG Therapy in a Patient with Liver Cirrhosis: A Case Report
Challenging differential diagnosis, Adverse events of drug therapy, Rare coexistence of disease or pathology
Christos Vallilas1BCDE, Maria Zachou2BCDE, Philippos Dolkiras3BDE, Stratigoula Sakellariou4BDE, Costas A. Constantinou5BCDE, Pagona Flevari6DE, Amalia Anastasopoulou7CDEF, Theodoros Androutsakos8ABCDEF*DOI: 10.12659/AJCR.933006
Am J Case Rep 2021; 22:e933006
Table 1. Laboratory results on admission and throughout the follow-up period. Time-points of follow-up as follows: “First follow-up” at one month after hospital discharge, “second follow-up” at one month after levofloxacin initiation and “end of follow-up” at 3 months after treatment completion.
| Admission | Hospital exit | First follow-up | Second follow-up | End of follow-up | Normal range | |
|---|---|---|---|---|---|---|
| Hb (g/dl) | 13 | 13 | 14.2 | 13 | 14.3 | 14–18 |
| WBC (neut/lymph/mono) | 3540 (62/27/0.3) | 2960 (55/30/0.4) | 3510 (72/19/8) | 3200 (56/31/12) | 5300 (51/40/6) | 4500–11000 |
| PLT (K/μL) | 119 | 72 | 94 | 107 | 165 | 140–440 |
| INR | 1.13 | 1.1 | 1.4 | 1.3 | 1.02 | 0.85–1.15 |
| AST (IU/ml) | 59 | 35 | 50 | 46 | 22 | 11–38 |
| ALT (IU/ml) | 31 | 22 | 30 | 24 | 17 | 11–43 |
| GGT (IU/ml) | 258 | 473 | 810 | 262 | 75 | 10–60 |
| ALP (IU/ml) | 285 | 401 | 409 | 124 | 52 | 25–129 |
| Sodium (mEq/L) | 134 | 131 | 133 | 140 | 142 | 137–150 |
| Potassium (mEq/L) | 3.9 | 3.6 | 4.2 | 4 | 4.4 | 3.5–5.1 |
| Urea (mg/dl) | 48 | 30 | 36 | 26 | 37 | 10–50 |
| Creatinine (mg/dl) | 0.82 | 0.49 | 0.79 | 0.80 | 0.98 | 0.6–1.4 |
| CRP (IU/ml) | 25 | 14 | 18 | 6 | 2 | <5 |
| Total bilirubin (mg/dl) | 0.96 | 1.2 | 0.9 | 1.02 | 0.4 | 0.1–1.2 |
| Direct bilirubin (mg/dl) | 0.45 | 0.63 | 0.4 | 0.6 | 0.18 | 0.1–0.3 |
| Hgb – hemoglobin; Hct – hematocrit; PLT – platelets; INR – International Normalized Ratio; AST – aspartate aminotransferase; ALT – alanine aminotransferase; GGT – gamma glutamyl-transferase; ALP – alkaline phosphatase; CRP – C-reactive protein. | ||||||