23 August 2022
: Case report 
Thrombotic Microangiopathy Secondary to Disseminated Varicella Zoster Virus Infection in an Adult Patient
Unusual clinical course, Challenging differential diagnosis
Neama Luqman1ABCDEFG*, Rama Bakie1ABCDEFG, Waqar H. Gaba
1ABCDEF, Syed Athar 1E
DOI: 10.12659/AJCR.936294
Am J Case Rep 2022; 23:e936294
Table 1. Laboratory findings upon admission.
| Test | Result | Normal range |
|---|---|---|
| White blood cell count | 22 | 4.5–11.0×10/L |
| Absolute neutrophil count | 18.5 | 2–8×10/L |
| Lymphocyte | 0.55 | 1–3.5×10/L |
| Hemoglobin | 8.8 | 14–18 g/dL |
| Hematocrit | 24 | 39–49.5% |
| Platelet | 19 | 140–400×10/L |
| Blood smear film | Schistocytes+3 | |
| Creatinine | 3.2 | 0.70–1.30 mg/dL |
| Estimated glomerular filtration rate (eGFR) | 15 | ≥60 mL/min/1.73 m |
| Glucose | 288 | 70–99 mg/dL |
| Alanine aminotransferase | 184 | 10–40 IU/L |
| Total bilirubin | 4.47 | 0.3–1.0 mg/dL |
| Direct bilirubin | 3.683 | 0.1–0.3 mg/dL |
| Alkaline phosphatase | 385 | 40–129 IU/L |
| Lactate dehydrogenase | 2499 | 135–225 IU/L |
| INR | 1.2 | 0.7–1.1 |
| Fibrinogen | 160 | 200–400 mg/L |
| D-dimer | 11.83 | ≤0.5 mcg/mL |