Case Report
Ulcerative Colitis Presented as Fever and Bloody Diarrhea at Initiation of Dialysis in an Elderly Patient with End-Stage Kidney Disease
Table 1
Results of laboratory tests conducted on admission.
| | Complete blood count | | | | Hemoglobin | 85 | g/L | | Hematocrit | 0.258 | | | White blood cells (×109) | 4.81 | /L | | Neutrophils (×109) | 2.732 | /L | | Platelets (×109) | 30.0 | /L | | Serum biochemistry | | | | Total protein | 53 | g/L | | Albumin | 21 | g/L | | Urea nitrogen | 10.4 | μmol/L | | Creatinine | 499.5 | μmol/L | | Uric acid | 446.1 | μmol/L | | Total bilirubin | 6.84 | μmol/L | | Glucose | 7.992 | mmol/L | | C-reactive protein | 161.0 | nmol/L | | Calcium | 2.0 | mmol/L | | Phosphorus | 1.0 | mmol/L | | Sodium | 134 | mmol/L | | Potassium | 3.7 | mmol/L | | Chloride | 95 | mmol/L | | AST | 12 | U/L | | ALT | 7 | U/L | | Lactate dehydrogenase | 173 | U/L | | Alkaline phosphatase | 232 | U/L | | Amylase | 109 | U/L | | Creatine kinase | 14 | U/L | | Iron | 5.19 | μmol/L | | UIBC | 4.30 | μmol/L | | Ferritin | 972.1 | pmol/L | | Total cholesterol | 95 | mmol/L | | HDL-cholesterol | 0.57 | mmol/L | | LDL-cholesterol | 1.21 | mmol/L | | Triglyceride | 1.50 | mmol/L | | Immunological studies | | | | Immunoglobulin G | 15.94 | g/L | | Immunoglobulin A | 3.24 | g/L | | Immunoglobulin M | 0.79 | g/L | | C3 | 0.54 | g/L | | C4 | 0.23 | g/L | | CH50 | 60 | U/L | | Rheumatoid factor | 8 | U/mL | | Anti-nuclear antibody | (—) | | | Anti-HBs antigen | (—) | | | Anti-HBs antibody | (—) | | | Anti-HCV antibody | (—) | | | Endocrinological studies | | | | Plasma cortisol | 441.4 | nmol/L | | Plasma ACTH | 12.8 | mmol/L | | Serum TSH | 2.43 | μU/mL | | Serum-free T4 | 18.4 | pmol/L | | Serum tumor markers | | | | CEA | 1.3 | μg/L | | CA19-9 | 7.3 | U/mL |
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ACTH, adrenocorticotropic hormone; ALT, alanine aminotransferase; AST, aspartate aminotransferase; C, complement; CA19-9, carbohydrate antigen 19-9; CEA, carcinoembryonic antigen; HBs, hepatitis B surface; HCV, hepatitis C virus; HDL, high density lipoprotein; LDL, low density lipoprotein; UIBC, unsaturated iron binding capacity; TSH, thyroid stimulating hormone.
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