13 March 2022: Articles
Differential Diagnostic Challenges in the COVID-19 Pandemic: Renal Abscess After SARS-CoV-2 Infection in a Young Adolescent
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Rare coexistence of disease or pathology
Ágnes Rita Martonosi B* , Piroska Pázmány D , Ádám Fukász E , Judit Rudolf D , Éva Kovács B , Zsolt Szakács D , László Szabó ADOI: 10.12659/AJCR.935190
Am J Case Rep 2022; 23:e935190
Table 1. Laboratory parameters.
| Laboratory parameters | Reference values | On admission (day 1) | Day 4 | At discharge (day 11) | At follow-ups | |
|---|---|---|---|---|---|---|
| 01.22 (day 43) | 02.01. (day 53) | |||||
| CRP (mg/L) | 141.74 | 129.31 | 71.47 | 1.42 | 0.67 | |
| ESR (Westergren) (mm/h) | 97 | 115 | 10 | 7 | ||
| WBC (G/L) | 4.5–15.0 | 12.14 | 11.64 | 6.79 | 8.19 | 8.76 |
| Absolute neutrophil count (g/L) | 1.8–8 | 8.5 | 7.7 | 3.9 | 4.6 | 5.1 |
| Absolute lymphocyte count (g/L) | 1.2–6.0 | 2.6 | 2.9 | 2.2 | 2.6 | 2.8 |
| RBC (T/L) | 3.8–5.8 | 3.61 | 3.42 | 3.13 | 4.28 | 4.41 |
| Hemoglobin (g/L) | 119–147 | 107 | 94 | 86 | 122 | 126 |
| Hematocrit (L/L) | 0.330–0.450 | 0.310 | 0.294 | 0.275 | 0.365 | 0.368 |
| Platelet count (g/L) | 150–550 | 420 | 536 | 438 | 329 | 295 |
| Blood urea nitrogen (mg/dL) | 2.8–21 | 7.84 | 2.0 | 4.76 | 12.88 | 8.12 |
| Creatinine (µmol/L) | 25–90 | 62 | 62 | 66 | 79 | 72 |
| Uric acid (µmol/L) | 124–448 | 232 | ||||
| Bilirubin (µmol/L) | 1.0–17.0 | 7.4 | ||||
| AST/GOT (U/L) | 1–40 | 22 | 17 | 22 | 16 | 15 |
| ALT/GPT (U/L) | 1–40 | 27 | 25 | 13 | 11 | 10 |
| GGT (U/L) | 1–60 | 87 | 113 | 67 | 42 | 29 |
| LDH (U/L) | 150–700 | 289 | 346 | |||
| Ferritin (µg/L) | 15.0–150.0 | 333.6 | ||||
| Natrium (mmol/L) | 130–145 | 137 | 138 | |||
| Potassium (mmol/L) | 3.2–5.4 | 4.1 | 4.4 | |||
| Chloride (mmol/L) | 96–111 | 100 | 109 | |||
| CK (U/l) | 40–150 | 42 | ||||
| Albumin (g/L) | 35.0–50.0 | 40.8 | 35.6 | 47.7 | ||
| Serum total protein concentration (g/dL | 60.0–80.0 | 80.1 | 72.6 | 75.2 | ||
| IgG (g/L) | 7.0–15.0 | 17.0 | ||||
| IgA (g/L) | 0.90–3.25 | 2.80 | ||||
| IgM (g/L) | 0.50–1.80 | 2.60 | ||||
| D-dimer (ng/mL) | 408 | |||||
| Fibrinogen (g/L) | 2.00–4.00 | 7.39 | ||||
| INR | 1.578 | 1.630 | 1.160 | |||
| PI (s) | 11.90 | 17.60 | 18.40 | 13.20 | ||
| APTI (s) | 31.6 | 38.5 | 38.7 | 34.3 | ||
| SARS-CoV-2 antibody (IgA, IgM, IgG) | COI | 74.91 | ||||
| Schwartz GFR (ml/min/1.73 m) | >60 | 75 | ||||
| CRP – C-reactive protein; ESR – erythrocyte sedimentation rate; WBC – white blood cell count; RBC – red blood cell count; AST/GOT – aspartate aminotransferase/glutamic-oxaloacetic transaminase; ALT/GPT – alanine aminotransferase/glutamic-pyruvic transaminase; GGT – γ-glutamyl transferase; LDH – lactate dehydrogenase; CK – creatine kinase; INR – international normalized ratio; PI – prothrombin time; APTI – activated partial thromboplastin time, GFR – glomerular filtration rate. Cut-off values were determined by the Department for Laboratory Medicine of Heim Pál National Pediatric Institute, Budapest, Hungary. | ||||||