Table 1 Synthesis of his laboratory investigation results (important ones are in italics fonts)
From: A vegetable-induced hemolytic crisis in a G6PD deficient person: a case report
Test | Reference range | The day of the illness | ||||
|---|---|---|---|---|---|---|
Day 3 | Day 4 | Day 5 | Day 6 | Day 7 | ||
White cell count (× 109/l) | 4.0–10.0 | 24.10 → 24.13 | 30.28 | 22.15 | 9.8 | |
Neutrophils % | 50–70 | 64.9 → 65.3 | 86.18 | 64 | ||
Lymphocytes % | 20–40 | 28.8 → 28.3 | 11.3 | 35 | ||
Hemoglobin (g/dl) | 11–16 | 7.7 → 7.3 | 5.9 | 6.2 | 8.0 | |
Hematocrit (%) | 37–54 | 22.7 → 22.5 | 18.6 | 17.62 | 24.3 | |
Platelets count (× 109/l) | 150–450 | 280 → 287 | 315 | 309 | 386 | |
Serum lactate dehydrogenase (LDH) in U/l | 140–330 | 6840 | ||||
Reticulocyte count % | 0.3–3.0 | 8.71 | ||||
Serum alanine transaminase (ALT) in U/l | 7.0–45 | 21.1 | 29 | |||
Serum aspartate transaminase (AST) in U/l | 13.0–31.0 | 82.0 | 114 | |||
Serum alkaline phosphatase (ALP) in U/l | 53.0–128.0 | 98 | ||||
Serum bilirubin—total (micro mol/l) | 3.0–21.0 | 115.1 | ||||
Serum bilirubin—direct (micro mol/l) | 1.0–7.0 | 11.9 | ||||
Serum gamma-glutamyltransferase (GGT) in U/l | 15.0–30.0 | 17 | ||||
Blood urea (mmol/l) | 2.10–7.10 | 7.09 | ||||
Serum creatinine (mg/dl) | 0.90–1.30 | 0.58 | 0.6 | |||
Serum sodium (mmol/l) | 133–148 | 142 | ||||
Serum potassium (mmol/l) | 3.5–5.5 | 5.0 | ||||
Chest X ray | Normal | |||||
12 lead electrocardiogram | Normal | |||||
Blood picture (blood taken day 2 and report arrived day 4) | Normocytic normochromic red cells with marked polychromacia, red cell fragments and blister and bite cells were seen. Absolute neutrophil leucocytosis with left shift. Platelets were normal. Summary: Evidence of hemolysis compatible with that due to oxidant stress on a G6PD deficient patient | |||||