Research Article

Tocilizumab, an Exploratory Treatment for Severe COVID-19 Patients

Table 6

Clinical laboratory tests of the patient.

MeasureReference rangeIllness day 4 hospital day 1Illness day 9 hospital day 6Illness day 10 hospital day 7Illness day 12 hospital day 9Illness day 15 hospital day 12Illness day 16 hospital day 13Illness day 17 hospital day 14Illness day 20 hospital day 17Illness day 21 hospital day 18

Complete blood count
White-cell count (×109/L)3.5–9.54.074.163.65.3913.21§12.06§13.98§14.00§
Absolute neutrophil count (×109/L)1.8–6.33.253.383.214.8612.28§11.50§13.47§13.52§
Absolute lymphocyte count (×109/L)1.1–3.20.56‡0.56‡0.29‡0.35‡0.33‡0.26‡0.24‡0.18‡
Absolute monocyte count (×109/L)0.1–0.60.250.220.100.170.560.250.190.19
Red-cell count (×1012/L)3.8–5.15.194.594.594.755.014.844.874.10
Hemoglobin (g/L)115–150153140136142149144146124
Platelet count (×109/L)125–35010793‡104‡13118112110071‡

Biochemical test
Total protein (g/L)65–8553.6260.0461.6559.1956.8948.52
Albumin (g/L)35–5528.76‡30.25‡26.70‡25.54‡23.22‡25.90‡
Globulin (g/L)20–4024.8629.7934.9533.6533.6722.62
Alanine aminotransferase (ALT) (U/L)7–4520.9234.9759.99§54.47§46.85§20.07
Glutamyl transpeptidase (GGT) (U/L)5–50142.33§165.87§198.86§199.83§186§126.28§
Lactate dehydrogenase (LDH) (U/L)140–271331.83§424.24§486.32§541.48§619.78§749.45§
Urea (mmol/L)2.8–7.26.229.77§8.91§9.17§10.37§15.18§
Creatinine (umol/L)49–9074.3484.0283.7286.0077.2877.28
Sodium (mmol/L)137–147131.60‡134.60‡137.70137.10136.60‡142.70
Potassium (mmol/L)3.5–5.34.003.763.914.074.124.03
Chloride (mmol/L)96–10896.2098.70102.90102.70100.30107.60

Arterial blood gas (ABG) analysis
Fracture of inspired oxygen (FiO2)33%85%85%85%85%85%100%
Potential of hydrogen (PH)7.35–7.457.457§7.452§7.498§7.478§7.512§7.474§7.429
Pressure of oxygen in arterial blood (mmHg)90–10053‡73‡55‡61‡87‡49‡27‡
Pressure of carbon dioxide in arterial blood (mmHg)35–4531.3‡30.7‡30.6‡29.6‡32.4‡36.642.1
Base excess (mmol/L)−3.0-3.0−2.0−1.01.00.04.0§3.03.0
HCO3 (mmol/L)22–2722.122.023.821.925.926.929.0§

Coagulation profile
Prothrombin time (sec)10.2–14.311.712.515.821.4
International normalized ratio0.8–1.21.061.161.651.98
Fibrinogen C (mg/dL)2.0–4.0409230154102
D-dimer (ng/mL)0–0.52501239715216
CRP (mg/dL)0–0.51.9425.32§17.69§11.52§
Procalcitonin (ng/mL)0.00–0.050.216§0.226§0.117§0.176§0.188§3.680§
Interleukin-6 (pg/mL)0–717.88§7.34§12.84§24.4§648.5§2932§
Blood cultureNegative
Hepatitis B surface antigen (HBsAg)0–10.429
Hepatitis C virus (HCV) antibody0–10.039
Human immunodeficiency virus (HIV) antibody0–10.20

The value in the patient was below normal. §The value in the patient was above normal.