Myocarditis, hepatitis, and pancreatitis in a patient with coxsackievirus A4 infection: a case report

Table 1 Laboratory findings on admission

Hematology		Normal range
White blood cells*	13700/mm³	3300 – 9000/mm³
Red blood cells	467 × 10⁴/mm³	430 – 570 × 10⁴/mm³ (Male)
Hemoglobin	13.6 g/dl	13.5 – 17.5 g/dl (Male)
Hematocrit	41.3%	39.7 – 52.4% (Male)
Platelets	29.3 × 10⁴/mm³	14.0 – 34.0 × 10⁴/mm³
*Differential white blood cell count*
Segmented neutrophils*	70.0%	34.0 – 70.0%
Band cells, stab cells*	15.0%	1.0 – 7.0%
Eosinophils	1.0%	0 - 8.0%
Monocytes	5.0%	2.0 – 10.0%
Lymphocytes*	9.0%	18.0 – 49.0%
*Biochemistry*
Total protein*	6.2 g/dl	6.7 – 8.3 g/dl
Albumin*	3.4 g/dl	3.8 – 5.2 g/dl
AST*	2660 IU/l	10 – 40 IU/l
ALT*	2037 IU/l	5 – 45 IU/l
LDH*	3307 IU/l	120 – 240 IU/l
ALP*	793 IU/l	100 – 325 IU/l
γ-GTP*	197 IU/l	10 – 50 IU/l
Total bilirubin*	1.7 mg/dl	0.2 – 1.2 mg/dl
Direct bilirubin*	1.0 mg/dl	0 – 0.4 mg/dl
CPK*	978 IU/l	60 – 270 IU/l
CPK-MB*	231 ng/ml	< 5.2 ng/ml
Blood urea nitrogen*	63.4 mg/dl	8.0 – 20.0 mg/dl
Creatinine*	3.01 mg/dl	0.61 - 1.04 mg/dl
Sodium	141 mEq/l	135 – 145 mEq/l
Potassium	3.8 mEq/l	3.5 – 5.0 mEq/l
Chloride	106 mEq/l	98 – 108 mEq/l
Calcium	8.4 mg/dl	8.4 – 10.4 mg/dl
Phosphorus	3.1 mg/dl	2.5 – 4.5 mg/dl
Glucose	99 mg/dl	70 – 109 mg/dl
C-reactive protein*	5.50 mg/dl	< 0.30 mg/dl
BNP*	4806 pg/ml	< 18.4 pg/ml
Troponin-I*	28.4 ng/ml	< 0.04 ng/ml
*Blood coagulation test*
PT-INR*	2.19	0.85-1.15
*Serology*
HBsAg	Negative	Negative
HCV-RNA	Negative	Negative
IgM anti-HAV Ab	Negative	Negative
Anti-HIV Ab	Negative	Negative

*These values are outside the normal ranges.
Abbreviations: AST aspartate aminotransferase, ALT alanine aminotransferase, LDH lactate dehydrogenase, ALP alkaline phosphatase, γ-GTP gamma-glutamyltranspeptidase, CPK creatine phosphokinase, BNP brain natriuretic peptide, PT-INR international normalized ratio of prothrombin time, APTT activated partial thromboplastin time.

ISSN: 1743-422X