Case Report
West Nile Encephalitis, an Unusual Infection in a Chronic Lymphocytic Leukemia Patient
| | 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 | 4.8–10.8 103/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 | 140–400 103/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% (1.9–8 103/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% (0.9–5.2 103/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% (0.16-1 103/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% (0–0.8 103/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% (0–0.2 103/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 | |
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