14 May 2026
: Case report 
A 56-Year-Old Male Farmer From China With Severe Fever With Thrombocytopenia Syndrome and Pulmonary Aspergillosis: A Case Report and Review of Literature
Unusual clinical course
Xiaoheng Lai
ACEF 1*, Quanyuan Gao BCG 1, Lifang Wu AD 1
DOI: 10.12659/AJCR.951798
Am J Case Rep 2026; 27:e951798
Table 1 Laboratory indicators.
| Variables | Day 1 | Day 4 | Day 8 | Day 10 | Day 12 | Day 15 | Day 18 | Day 22 |
|---|---|---|---|---|---|---|---|---|
| AST (IU/L) | 221.2 | 185.1 | 111.6 | 140 | 90.6 | 65.3 | 67.6 | 21.5 |
| ALT (IU/L) | 77.6 | 134.5 | 124.9 | 134.7 | 104.8 | 146.6 | 89.6 | 30.7 |
| GGT (IU/L) | 49 | 51 | 176 | 715 | – | – | 943 | 555 |
| ALP (IU/L) | 76.9 | 68.8 | 154.1 | 429.6 | – | – | 500 | 333 |
| ALB (g/L) | 37.3 | 31.8 | 29.4 | 29.4 | 30.2 | 31.8 | 32.47 | 33.5 |
| TB (μmol/L) | 9.6 | 17.8 | 30.5 | 44.1 | 42.9 | 27 | 19.89 | 13.95 |
| DBIL (μmol/L) | 4.1 | 8.3 | 20.3 | 34.4 | 33.5 | 19.8 | 11.9 | 8 |
| IBIL/μmol/L | 5.5 | 9.5 | 10.2 | 9.7 | 9.4 | 7.2 | 7.99 | 5.95 |
| CRP (mg/L) | 8.92 | 40.79 | 150.37 | 160.69 | 155.58 | 94.95 | 65.01 | 55.63 |
| PCT (ng/mL) | 0.54 | 0.18 | 0.29 | 0.21 | 0.28 | 0.15 | – | 0.07 |
| WBC (10/L) | 4.96 | 5.95 | 15.81 | 14.65 | 17.02 | 16.12 | 12.4 | 7.81 |
| N (%) | 77.5 | 76.2 | 87.6 | 87.5 | 89.3 | 86.7 | 84.1 | 76.2 |
| PLT (10/L) | 77 | 95 | 270 | 339 | 410 | 520 | 621 | 611 |
| CK-MB (U/L) | 38.7 | 27.8 | 11.5 | 8.6 | – | – | – | 10.8 |
| CK (IU/L) | 666 | 317 | 103 | 110 | – | – | – | 32 |
| cTnI (ng/mL) | 0.141 | 0.286 | 0.08 | 0.05 | – | – | – | – |
| “–” indicates not tested. ALB – albumin; ALP – alkaline phosphatase; ALT – alanine aminotransferase; AST – aspartate aminotransferase; CK – creatine kinase; CK-MB – creatine kinase myocardial band; CRP – C-reactive protein; cTnI – cardiac troponin I; DBIL – direct bilirubin; GGT – gamma-glutamyl transferase, IBIL – indirect bilirubin; N – neutrophil; PCT – procalcitonin; PLT – platelets; TB – total bilirubin; WBC – white blood cells. | ||||||||