Spinal Tuberculosis Diagnosed by Metagenomics Capture (MetaCAP) in a Patient Undergoing Maintenance Hemodialysis: A Case Report

22 April 2026 : Case report China

Unusual clinical course, Challenging differential diagnosis

Mengyao Song^{CDEFG 1}, Zheng Zhang^{BF 2}, Haiyan Huang

^{DF 3}, Zhizhen Zou^{B 4}, Sichun Wen^{ACDEF 5*}, Yanhai Cui^{A 6}, Shuangxin Liu^{A 7}

DOI: 10.12659/AJCR.951840

Am J Case Rep 2026; 27:e951840

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Table 1 Laboratory examination results of the patient.

	Normal range	Mar 7	Mar 11	Mar 23	Apr 18
WBC (×10/L)	3.50–9.50	9.3	18.79	8.93	2.85
NEU (×10/L)	1.80–6.30	6.5	16.59	6.37	1.80
LYM (×10/L)	1.10–3.20	1	0.79	1.14	0.62
PLT (×10/L)	125–350	172	112	106	65
RBC (×10/L)	4.30–5.80	3.34	3.29	2.48	2.08
Hb (g/L)	130–175	101	99	72	66
hs-CRP (mg/L)	0–5	87.9	124.9	51.7	15.9
PCT (ng/mL)	0.000–0.046	4.070	2.870	1.490	0.57
ESR (mm/h)	<21	60	47	-	-
ALB (g/L)	35–55	29.00	28.21	-	-
WBC – white blood cell; NEU – neutrophil; LYM – lymphocyte; PLT – platelet; RBC – red blood cell; Hb – hemoglobin; hs-CRP – high-sensitivity C-reactive protein; PCT – procalcitonin; ESR – erythrocyte sedimentation rate; ALB – serum albumin; ‘−’ – none.

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