20 February 2022>: Articles
Relapsing Infectious Mononucleosis-Like Symptoms Associated with Liver Insufficiency in a Chronic Hepatitis B Patient with Common Variable Immunodeficiency
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment
Akira Sato A* , Fumiaki Sano C , Hideaki Takahashi B , Nobuyuki Matsumoto BDOI: 10.12659/AJCR.934003
Am J Case Rep 2022; 23:e934003
Table 1. Laboratory data before treatment with propagermanium (Feb. 2010).
Hematology | Range | ||
---|---|---|---|
WBC | 68 | ×10/µL | 36–96 |
Neut | 74 | % | 40–71 |
Ly | 16 | % | 27–47 |
Mono | 8 | % | 2–8 |
Eo | 1.5 | % | 1–7 |
Ba | 0.5 | % | 0–1 |
Hb | 9.4 | g/dL | 11.2–14.9 |
RBC | 417 | ×10/µL | 378–497 |
Hct | 28.5 | % | 33.6–44.6 |
Plt | 13.9 | ×10/µL | 12.5–37.5 |
Viral markers | |||
HBsAg | >2000 | C.O.I. | |
HBeAg | (−) | (−) | |
HBeAb | (+) | (−) | |
HBV DNA | 6.9 | log IU/mL | |
HIVAb ½ | (−) | (−) | |
Biochemistry | Range | ||
T-Bil | 0.5 | mg/dL | 0.2–1.2 |
AST | 53 | IU/L | 11–32 |
ALT | 51 | IU/L | 7–37 |
LDH | 164 | IU/L | 115–230 |
ALP | 367 | IU/L | 115–360 |
γ-GTP | 31 | IU/L | 4–36 |
TP | 6.4 | g/dL | 6.7–8.3 |
ALB | 4.5 | g/dL | 4.0–5.1 |
Protein fraction (Sept. 2006) | |||
TP | 6.5 | g/dL | 6.7–8.3 |
Albumin | 71.1 | % | 62.0–72.0 |
α1 | 3.8 | % | 2.0–3.0 |
α2 | 7.9 | % | 5.0–9.0 |
β | 11.5 | % | 7.0–11.0 |
γ | 5.7 | % | 11.0–20.0 |