West Nile Encephalitis, an Unusual Infection in a Chronic Lymphocytic Leukemia Patient

Table 1

Laboratory values.

	Normal range	13 years prior to admission	10 years prior to admission	5 years prior to admission	1 year prior to admission	On admission	On discharge
WBC	4.8–10.8 10^3/μL	30.4	196.9	113.7	91.9	13	4.3
HCT	42–50%	42.3	40.9	37.6	35.9	28.6	23.9
Hb	14–17 g/dL	14.9	13.3	12.6	11.8	10.1	8.4
RBC count	4.7–6.1	4.67	4.30	4.05	3.83	3.16	2.59
PLT	140–400 10^3/μL	223	238	150	143	49	36
MCV	80–99 fL	90.6	95.1	92.7	93.7	90.4	92.3
Differential count: percentage (absolute)
Neutrophils	40–74% (1.9–8 10^3/μL)	19.3 (5.9)	8.3 (16.4)	10 (11.3)	6.9 (6.4)	50.8 (6.6)	54.5 (2.3)
Lymphocytes	19–48% (0.9–5.2 10^3/μL)	75 (22.8)	91.1 (179.4)	64 (72.7)	90.8 (83.4)	44.8 (5.8)	37.7 (1.6)
Atypical lymphocytes	0–10%	6% + smudge cells	22% + smudge cells	20% and 2% blasts	27%	2%	3.1%
Monocytes	3.4–9% (0.16-1 10^3/μL)	4.1 (1.2)	0.5 (0.9)	3 (3.4)	1.5 (1.3)	3 (0.4)	2.1 (0.1)
Eosinophils	0–7% (0–0.8 10^3/μL)	1.4 (0.4)	0 (0.1)	1 (1.1)	0.5 (0.5)	0.4 (0.1)	5.6 (0.2)
Basophils	0–1.5% (0–0.2 10^3/μL)	0.2 (0.1)	0.1 (0.2)	2 (2.2)	0.3 (0.3)	1 (0.1)	0.1 (0.0)
IgA	85–385 mg/dL	128			23
IgG	564–1765 mg/dL	1130			489
IgM	45–250 mg/dL	121			28
LDH	98–192 IU/L		154	225	377	261