30 November 2023>: Articles
Polybacterial Iliopsoas Muscle Abscess as an Indication for Early Diagnosis of Crohn’s Disease
Unusual clinical course, Challenging differential diagnosis, Educational Purpose (only if useful for a systematic review or synthesis)
Shun Yamashita A* , Masahiko Nakamura A , Takashi Akutagawa D , Orisa Nakashima A , Masaki Tago A , Motohiro Esaki D , Shu-ichi Yamashita DDOI: 10.12659/AJCR.941399
Am J Case Rep 2023; 24:e941399
Table 1. Laboratory findings on admission.
Complete blood count | ||
---|---|---|
White blood cell | 13.4 | ×10/µL |
Neutrophil | 89.5 | % |
Lymphocyte | 5.4 | % |
Red blood cell | 393 | ×10/µL |
Hemoglobin | 10.7 | g/dL |
MCV | 81.2 | fL |
Platelet | 46.7 | ×10/µL |
MCV – mean corpuscular volume; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; BUN – blood urea nitrogen; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – γ-glutamyl transpeptidase; CK – creatine kinase; CRP – C-reactive protein; ESR – erythrocyte sedimentation rate; TIBC – total iron binding capacity; ANA – antinuclear antibodies; PR3-ANCA – proteinase 3 anti-neutrophil cytoplasmic antibody; MPO-ANCA – myeloperoxidase-anti-neutrophil cytoplasmic antibody; pH – power of hydrogen. | ||
Congealing system | ||
PT-INR | 1.26 | |
APTT | 47.3 | s |
Fibrinogen | 679.8 | mg/dL |
D-dimer | 1.23 | µg/dL |
MCV – mean corpuscular volume; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; BUN – blood urea nitrogen; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – γ-glutamyl transpeptidase; CK – creatine kinase; CRP – C-reactive protein; ESR – erythrocyte sedimentation rate; TIBC – total iron binding capacity; ANA – antinuclear antibodies; PR3-ANCA – proteinase 3 anti-neutrophil cytoplasmic antibody; MPO-ANCA – myeloperoxidase-anti-neutrophil cytoplasmic antibody; pH – power of hydrogen. | ||
Biochemistry | ||
Total protein | 5.0 | g/dL |
Albumin | 2.0 | g/dL |
BUN | 9.8 | mg/dL |
Creatinine | 0.53 | mg/dL |
AST | 7 | U/L |
ALT | 5 | U/L |
LDH | 108 | U/L |
γ-GTP | 11 | U/L |
Amylase | 26 | U/L |
CK | 21 | U/L |
CRP | 12.8 | mg/dL |
ESR | 52 | mm/h |
MCV – mean corpuscular volume; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; BUN – blood urea nitrogen; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – γ-glutamyl transpeptidase; CK – creatine kinase; CRP – C-reactive protein; ESR – erythrocyte sedimentation rate; TIBC – total iron binding capacity; ANA – antinuclear antibodies; PR3-ANCA – proteinase 3 anti-neutrophil cytoplasmic antibody; MPO-ANCA – myeloperoxidase-anti-neutrophil cytoplasmic antibody; pH – power of hydrogen. | ||
Biochemistry | ||
Fe | 13 | µg/dL |
TIBC | 122 | µg/dL |
Ferritin | 409 | ng/mL |
ANA | fold | |
PR3-, MPO-ANCA | IU/mL | |
Tuberculosis IFN-γ | (-) | |
MCV – mean corpuscular volume; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; BUN – blood urea nitrogen; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – γ-glutamyl transpeptidase; CK – creatine kinase; CRP – C-reactive protein; ESR – erythrocyte sedimentation rate; TIBC – total iron binding capacity; ANA – antinuclear antibodies; PR3-ANCA – proteinase 3 anti-neutrophil cytoplasmic antibody; MPO-ANCA – myeloperoxidase-anti-neutrophil cytoplasmic antibody; pH – power of hydrogen. | ||
Urinalysis (qualitative) | ||
pH | 6.0 | |
White blood cells | 41.1 | mmHg |
Protein | 59.6 | mmHg |
Occult blood | 25.9 | mmol/L |
Nitrite | 1.9 | mmol/L |
MCV – mean corpuscular volume; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; BUN – blood urea nitrogen; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – γ-glutamyl transpeptidase; CK – creatine kinase; CRP – C-reactive protein; ESR – erythrocyte sedimentation rate; TIBC – total iron binding capacity; ANA – antinuclear antibodies; PR3-ANCA – proteinase 3 anti-neutrophil cytoplasmic antibody; MPO-ANCA – myeloperoxidase-anti-neutrophil cytoplasmic antibody; pH – power of hydrogen. |