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18 July 2022: Articles

Trust the Process: Prolonged Parasitemia in an Elderly Man with Asplenia from the American Midwest

Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)

Marko Ivancich D* , Larry Lutwick A , F.N.U. Shweta A

DOI: 10.12659/AJCR.936326

Am J Case Rep 2022; 23:e936326

Table 1. Laboratory values. Chronological order of relevant laboratory tests performed throughout the patient’s treatment course.

Lab parameterRangeDay 0Day +1Week +1Week +4Week +6Week +9Week +18
White blood cell count3.4–9.6×10/L13.9 16.3
Hemoglobin13.2–16.6 g/dL12.2 9.9 8.4 10.9 11 11.8 11.6
Hematocrit38.3–48.6%33.8 27.7 25.4 34 33.5 36.3 34.4
Total erythrocyte count4.35–5.65×10/L3.51 2.91 2.54 3.1 2.97 3.25 3.25
Platelet count135–317×10/L94 99 109 135107 138143
Serum creatinine0.74–1.35 mg/dL1.141.7 0.80.980.90.860.96
Aspartate aminotransferase8–48 U/L264 270 465136
Alanine aminotransferase7–55 U/L67 67 5043342819
Alkaline phosphatase40–129 U/L92679190
Bilirubin, total≤1.2 mg/dL2 1.4 0.90.5
Bilirubin, direct0.0–0.3 mg/dL0.5 0.4
C-reactive protein≤8.0 mg/L67.4 126.9 9.8 4.5
Day 0 – date of first presentation,
* values outside normal range for performing laboratory.

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