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17 October 2021: Articles

Spontaneous Recovery of Hemophagocytic Lymphohistiocytosis Due to Primary Epstein-Barr Virus Infection in an Adult Patient

Unusual clinical course

Yuichiro Matsuo A , Keiichi Iwanami A* , Eiji Hiraoka A , Rentaro Oda D

DOI: 10.12659/AJCR.933272

Am J Case Rep 2021; 22:e933272

Table 1. Laboratory data.

Laboratory testPatient valueReference value
White blood cells (/µL)96004000–8000
Neutrocytes (%)22.545–55
Eosinophils (%)0.50–5
Monocytes (%)10.54–6
Lymphocytes (%)65.525–40
Atypical lymphocytes (%)1.00
Hemoglobin (g/dL)16.914–18
Platelets (/μL)102 000150 000–350 000
Total protein (g/dL)7.46.7–8.3
Albumin (g/dL)3.93.1–5.1
Aspartate aminotransferase (IU/L)38513–33
Alanine aminotransferase (IU/L)4758–42
Lactate dehydrogenase (IU/L)1298119–229
Alkaline phosphatase (IU/L)560115–359
γ-Glutamyl transferase (IU/L)19510–47
Total bilirubin (mg/dL)12.370.2–1.2
Direct bilirubin (mg/dL)8.920.0–0.6
Urea nitrogen (mg/dL)14.38–22
Creatinine (mg/dL)1.030.61–1.04
Sodium (mEq/L)135138–146
Potassium (mEq/L)4.43.6–4.9
Chloride (mEq/L)9299–109
Calcium (mg/dL)9.38.7–10.3
Phosphorus (mg/dL)2.92.5–4.7
Glucose (mg/dL)11570–109
Total cholesterol (mg/dL)95128–219
High density cholesterol (mg/dL)741–96
Triglycerides (mg/dL)30650–150
Ferritin (ng/mL)17 21121–274
Soluble interleukin-2 receptor (IU/mL)4443122–496
C-reactive protein (mg/dL)17.890.0–0.29
Erythrocyte sedimentation rate (mm/h)301–10
Antinuclear antibodiesNegativeNegative
Rheumatology factorsNegativeNegative
Fibrinogen (mg/dL)377200–400
Prothrombin time (sec)15.012.5
Prothrombin time (INR)1.27
Activated partial thromboplastin time (sec)84.824–34
D-dimer (g/mL)1.930.0-0.99

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923