Case Report
Epstein-Barr Virus-Related Hemophagocytic Lymphohistiocytosis: Hematologic Emergency in the Critical Care Setting
Table 1
Trend of liver function test, ferritin levels, blood counts, and creatinine during the initial hospital stay.
| | Days from admission | 1 | 2 | 4 | 6 | 8 | 12 | 17 |
| | Temperature (F) | 102.7 | 102.7 | 100.3 | 98.9 | 97.8 | 98.1 | 98.5 | | ALT (U/L) | 373 | 225 | 214 | 188 | 160 | 270 | 126 | | AST (U/L) | 669 | 444 | 568 | 640 | 314 | 198 | 45 | | ALP (U/L) | 119 | 59 | 79 | 169 | 236 | 340 | 318 | | Total bilirubin (mg/dL) | 4.3 | 3.6 | 7.6 | 9.2 | 7.7 | 3.7 | 1.6 | | Ferritin (ng/dL) | — | 75285 | 119440 | 216048 | 128888 | 15550 | — | | Creatinine (mg/dL) | 2.9 | 2.4 | 2.3 | 5.6 | 5.1 | 3.9 | 4.5 | | WBC (/μL) | 2500 | 1400 | 2200 | 1500 | 900 | 1400 | 900 | | ANC (/μL) | 2240 | 1300 | 2090 | 1370 | 830 | 1210 | 730 | | Hgb (g/dL) | 10.6 | 8.9 | 9.4 | 7.3 | 6.7 | 6.8 | 7.9 | | Platelet (/μL) | 25000 | 20000 | 18000 | 30000 | 33000 | 47000 | 77000 |
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ALT: alanine aminotransferase; ALP: alkaline phosphatase; ANC: absolute neutrophil count; AST: aspartate aminotransferase; Hgb: hemoglobin; WBC: white blood cells.
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