02 November 2021>: Articles
Glucocorticoids Induce Partial Remission of Focal Segmental Glomerulosclerosis but Not Interstitial Nephritis in COVID-19 Acute Kidney Injury in an APOL1 Low-Risk Genotype White Patient
Challenging differential diagnosis, Rare coexistence of disease or pathology
Piotr J. Nowak A* , Joanna Forycka B , Natalia Cegielska B , Karolina Harendarz B , Małgorzata Wągrowska-Danilewicz B , Marian Danilewicz B , Tomasz Płoszaj B , Maciej Borowiec C , Rafał Wlazeł B , Michał Nowicki DDOI: 10.12659/AJCR.933462
Am J Case Rep 2021; 22:e933462
Table 1. Summary of blood laboratory evaluations and relevant trends during hospitalization.
Laboratory test | Reference | Hospital day | |||||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 11 | 17 | ||
Creatinine | 520 | 530 | 570 | 540 | 450 | 320 | 126 | 112 | |
Urea | 2.8–7.2 mmol/L | 18.0 | 20.3 | 22.5 | 23.5 | 25.0 | 24.1 | 12.2 | 9.7 |
Potassium | 3.5–5.1 mmol/L | 4.1 | 4.2 | 5.2 | 4.5 | 5.0 | 4.5 | 4.3 | 4.7 |
Sodium | 136–146 mmol/L | 134 | 135 | 138 | 137 | 138 | 138 | 139 | 140 |
Chloride | 101–109 mmol/L | 99 | 101 | 102 | 104 | 107 | 107 | 109 | 112 |
Bicarbonates | 22–26 mmol/L | 20.8 | 20.9 | 20.8 | 22.6 | 23.9 | 24.9 | ||
Total calcium | 2.2–2.65 mmol/L | 1.75 | 1.8 | ||||||
Corrected calcium | 2.2–2.65 mmol/L | 2.2 | 2.3 | ||||||
Phosphates | 0.81–1.45 mmol/L | 1.5 | 1.6 | 1.7 | |||||
pH | 7.35–7.45 | 7.40 | 7.40 | 7.41 | 7.37 | 7.39 | 7.43 | ||
Plasma lactate acid | 0.5–2.2 mmol/L | 0.8 | 0.6 | ||||||
Albumin | 35–55 g/L | 22.5 | 19.3 | 18.3 | |||||
Total protein | 66–83 g/L | 49.4 | 46.5 | ||||||
Total cholesterol | 3–5 mmol/L | 4.2 | 6.1 | ||||||
Triglycerides | 2.2 | ||||||||
Glucose | 4.1–5.5 mmol/L | 4.6 | 4.5 | ||||||
Total bilirubin | 5–21 µmol/L | 4.0 | 4.4 | ||||||
ALP | 30–12 U/L | 35 | |||||||
ALT | 41 | ||||||||
AST | 65 | 40 | |||||||
GGT | 52 | 43 | |||||||
CK | 130 | 107 | 33 | ||||||
Myoglobin | 28–72 ng/mL | 92 | |||||||
LDH | 510 | 560 | 415 | ||||||
D-dimer | 0.7 | ||||||||
Ferritin | 30–400 ng/mL | 3153 | |||||||
Fibrinogen | 150–450 mg/dL | 699 | 518 | ||||||
CRP | 199 | 258 | 314 | 255 | 123 | 66 | 5 | 2 | |
Procalcitonin | 0.43 | 0.75 | 0.56 | 0.15 | 0.15 | ||||
WBC | 4–11×10/µL | 11.5 | 11.7 | 13.0 | 8.5 | 8.7 | 9.7 | 11.4 | 9.9 |
Platelet count | 15–40×10/µL | 318 | 331 | 391 | 439 | 465 | 483 | 223 | 206 |
Hemoglobin | 14–18 g/dL | 15.3 | 13.9 | 14.2 | 13.7 | 13.2 | 13.4 | 12.5 | 11.1 |
Sars-CoV-2 rRT-PCR | Detected | Not detected | |||||||
Anti-SARS-CoV-2 IgM | Detected | ||||||||
Anti-SARS-CoV-2 IgG | Detected | ||||||||
ALP – alkaline phosphatase; ALT – alanine transaminase; AST – aspartate transaminase; CK – creatine kinase; CRP – C-reactive protein; GGT – gamma-glutamyltransferase; IgM – immunoglobulin M; IgG – immunoglobulin G; LDH – lactate dehydrogenase; WBC – white blood cells; rRT-PCR – real-time reverse transcription polymerase chain reaction. * Calcium serum concentration corrected for hypoalbuminemia. |